Individual
MICAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
INDIAN ROUTE 19, MILE POST 19.5, TOPAWA, AZ 85639
(520) 383-6800
Mailing address
PO BOX 2332, SELLS, AZ 85634-2332
(520) 383-6800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1230
AZ
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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