Individual
DR. JOHN WILLIAM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2907 E JOYCE BLVD, FAYETTEVILLE, AR 72703-5011
(479) 521-8260
Mailing address
21952 RICHLAND VIEW RD, ELKINS, AR 72727-8641
(870) 275-0320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-6033
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2008
Last updated
05/12/2011
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