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Individual

DR. SCOTT MICHAEL JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4432 N MILLER RD, SUITE 102, SCOTTSDALE, AZ 85251-3697
(480) 945-0008
(480) 306-7238
Mailing address
7343 E CAMELBACK RD, SUITE B, SCOTTSDALE, AZ 85251-3442
(480) 306-7227
(480) 306-7238

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7360
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1427075100
CORPORATE NPI
01
1851658785
CORPORATE NPI
AZ
01
1881675106
INDIVIDUAL NPI
01
AZ0938440
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
11/14/2005
Last updated
07/23/2014
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