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Jason Daniel Johnson, Pllc
Plastic and Reconstructive Surgery Physician in Peoria, Arizona
NPI 1720597065

Jason Daniel Johnson, Pllc is a Plastic and Reconstructive Surgery Physician based in Peoria, AZ and is specialized in Plastic and Reconstructive Surgery. Jason Daniel Johnson, Pllc practices in Peoria, AZ. The NPI Number for Jason Daniel Johnson, Pllc is 1720597065 and holds a License No. 006929 (Arizona).

The current practice location address for Jason Daniel Johnson, Pllc is 15396 N 83Rd Ave Ste B100, Peoria, AZ and can be reached out via phone at 602-610-2999 and via fax at 623-321-7821.

Location: 15396 N 83Rd Ave Ste B100, Peoria, AZ, 85381-5626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720597065
Provider Name
Jason Daniel Johnson, Pllc
Credential
Provider Entity Type
Organization
Address
15396 N 83Rd Ave Ste B100, Peoria, AZ, 85381-5626
Phone Number
602-610-2999
Fax Number
623-321-7821
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033104 05 AZ
institution
Provider Business Practice Location Address Details
Address
15396 N 83Rd Ave Ste B100
City
Peoria
State
Arizona
Zip
85381-5626
Phone Number
602-610-2999
Fax Number
623-321-7821
person
Provider Business Mailing Address Details
Address
15396 N 83Rd Ave Ste B100
City
Peoria
State
Arizona
Zip
85381-5626
Phone Number
602-610-2999
Fax Number
623-321-7821
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
006929 (Arizona)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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