Individual
DR. COURTNEY R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1432 S DOBSON RD, SUITE 501, MESA, AZ 85202-4768
(480) 412-7457
(480) 412-7475
Mailing address
1432 S DOBSON RD, SUITE 501, MESA, AZ 85202-4768
(480) 412-7457
(480) 412-7475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2000213
NM
2080P0216X
Pediatric Rheumatology Physician
Primary
19112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116055900
—
WY
05
—
289703
—
AZ
05
—
L3714
—
NM
Enumeration date
07/21/2006
Last updated
03/17/2016
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