Individual
DR. JASON D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15396 N 83RD AVE STE B100, PEORIA, AZ 85381-5626
(602) 610-2999
(623) 321-7821
Mailing address
15396 N 83RD AVE STE B100, PEORIA, AZ 85381-5626
(602) 610-2999
(623) 321-7821
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
006929
AZ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
006929
AZ
Other
Enumeration date
03/20/2007
Last updated
03/11/2021
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