Individual
ANDRE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 909-3870
(602) 230-6462
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69346
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
69346
AZ
207RP1001X
Pulmonary Disease Physician
Primary
69346
AZ
Other
Enumeration date
03/28/2019
Last updated
11/19/2025
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