Organization
JOHNSON MEDICAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI LABRECQUE (ACCOUNTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
501 NORTH NAVAJO DRIVE, PAGE, AZ 86040-1447
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 5793, SCOTTSDALE, AZ 85261-5793
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
42099
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42099
AZ LICENSE
AZ
Enumeration date
09/14/2011
Last updated
09/15/2011
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