Individual
F MATTHEW JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
(702) 874-8807
(702) 446-9873
Mailing address
10161 PARK RUN DR, SUITE 150, LAS VEGAS, NV 89145-8871
(702) 874-8807
(702) 446-9873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12571
NV
Other
Enumeration date
10/04/2006
Last updated
12/12/2014
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