Organization
JOSEPH W. JOHNSON, M.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH W JOHNSON M.D. (PRESIDENT)
(702) 565-8911
Entity
Organization
Contact information
Practice address
106 E. LAKE MEAD PARKWAY, SUITE 104, HENDERSON, NV 89015-5534
(702) 565-8911
(702) 565-9884
Mailing address
106 E LAKE MEAD PARKWAY, SUITE 104, HENDERSON, NV 89015-5534
(702) 565-8911
(702) 565-9884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3304
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506440
—
NV
Enumeration date
10/13/2010
Last updated
10/13/2010
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