Individual
EDWARD E. JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 981-2000
Mailing address
20355 E APPALOOSA DR, QUEEN CREEK, AZ 85242-7136
(602) 618-9273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3325
AZ
Other
Enumeration date
06/15/2006
Last updated
07/21/2022
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