Individual
MR. FREDRICK G. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.F.A.
Contact information
Practice address
4320 E PRESIDIO ST, #101, MESA, AZ 85215
(480) 706-9430
Mailing address
5155 E EAGLE DR, #20730, MESA, AZ 85277-3031
(480) 229-7254
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN143974
AZ
Other
Enumeration date
05/11/2011
Last updated
04/18/2018
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