Individual
MATTHEW J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-6481
(520) 432-5082
Mailing address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-6481
(520) 432-5082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8117
AZ
363AM0700X
Medical Physician Assistant
PA2009-0007
NM
Other
Enumeration date
05/18/2009
Last updated
02/12/2024
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