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Charles D Johnson, PA-C
Surgical Physician Assistant in Phoenix, Arizona
NPI 1306829494

Charles D Johnson is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Charles D Johnson practices in Phoenix, AZ and has the professional credentials of PA-C. The NPI Number for Charles D Johnson is 1306829494 and holds a License No. 1494 (Arizona).

The current practice location address for Charles D Johnson is 5779 E Mayo Blvd, Phoenix, AZ and can be reached out via phone at 480-301-8000.

Location: 5779 E Mayo Blvd, Phoenix, AZ, 85054-4502
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Provider Profile Details
NPI Number
1306829494
Provider Name
Charles D Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5779 E Mayo Blvd, Phoenix, AZ, 85054-4502
Phone Number
480-301-8000
Fax Number
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
351627 05 AZ
86080015085259A240 01 AZ TRIWEST
institution
Provider Business Practice Location Address Details
Address
5779 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
480-301-8000
Fax Number
person
Provider Business Mailing Address Details
Address
5779 E Mayo Blvd
City
State
Zip
85054-4502
Phone Number
480-301-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1494 (Arizona)
Definition
Definition to come...
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