Individual
MS. EDEN ENRIQUEZ JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
198 S SKILL CENTER RD, SACATON, AZ 85247
(888) 431-4096
(520) 562-3415
Mailing address
4041 LYNN COURT DRIVE, SUITE 305, C/O ROBERT DESKINS, CPA, INDEPENDENCE, MO 64055
(928) 606-3887
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A18019
KS
2084P0802X
Addiction Psychiatry Physician
Primary
A18019
KS
Other
Enumeration date
04/11/2006
Last updated
09/11/2025
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