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Individual

RICHARD W JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5300 E ERICKSON DR, STE 116, TUCSON, AZ 85712-2828
(520) 324-3940
(520) 324-3935
Mailing address
1200 N. EL DORADO PLACE, F-670, TUCSON, AZ 85715-4637
(520) 324-4774
(520) 324-2567

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41832
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310321
AZ
05
447858
AZ
Enumeration date
05/15/2006
Last updated
08/30/2012
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