Individual
JASON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-3980
(479) 274-3999
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A#404
AR
Other
Enumeration date
08/05/2015
Last updated
08/28/2015
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