David Johnson MD PLLC
Surgery in Mesa, AZ. Organization (NPI-2).
NPI number1699397604
StatusActive
Last updated in NPPESMay 12, 2020
Details
- NPI
- 1699397604
- Entity type
- Organization (NPI-2)
- Legal business name
- David Johnson MD PLLC
- Organization subpart
- No
- Enumeration date
- May 12, 2020
- Certification date
- May 12, 2020
- Last updated
- May 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
6242 E Arbor Ave Ste 101Mesa, AZ 85206-1309
Phone 480-985-9184 · Fax 480-985-3107
Mailing address
10031 E Kilarea AveMesa, AZ 85209-1257
Phone 480-332-6240
Authorized official
David Curtis Johnson
Owner
4803326240
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