Individual
MICHAEL EUGENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7425 E SHEA BLVD STE 114, SCOTTSDALE, AZ 85260-6411
(480) 977-6844
(480) 977-6845
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7781
AZ
Other
Enumeration date
04/05/2019
Last updated
10/20/2021
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