Individual
CLAIRE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W THOMAS RD STE 400, PHOENIX, AZ 85013-4238
(602) 406-3874
(602) 406-2335
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5299
AZ
363AM0700X
Medical Physician Assistant
5299
AZ
363AS0400X
Surgical Physician Assistant
Primary
5299
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
748040
—
AZ
Enumeration date
10/09/2012
Last updated
12/09/2024
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