Individual
DR. ELIJAH MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 CORONADO CENTER DR STE 200-EJ, HENDERSON, NV 89052-4289
(702) 334-0145
Mailing address
2657 WINDMILL PKWY # 141, HENDERSON, NV 89074-3384
(702) 528-6478
(702) 725-7068
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13190
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL1489
MEDICAL LICENSE
NV
Enumeration date
03/19/2007
Last updated
05/27/2024
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