institution
Stacey M Johnson Md Pa
Specialist in Mountain Home, Arkansas
NPI 1831203512

Stacey M Johnson Md Pa is a Specialist based in Mountain Home, AR. Stacey M Johnson Md Pa practices in Mountain Home, AR. The NPI Number for Stacey M Johnson Md Pa is 1831203512 and holds a License No. R2724 (Arkansas).

The current practice location address for Stacey M Johnson Md Pa is # 17 Medical Plaza, Mountain Home, AR and can be reached out via phone at 870-425-6212 and via fax at 870-424-3774. You can also correspond with Stacey M Johnson Md Pa through the mailing address at # 17 MEDICAL PLAZA, MOUNTAIN HOME, AR - 72653 (mailing address contact number: 870-425-6212).

Location: # 17 Medical Plaza, Mountain Home, AR, 72653
institution
Provider Profile Details
NPI Number
1831203512
Provider Name
Stacey M Johnson Md Pa
Credential
Provider Entity Type
Organization
Address
# 17 Medical Plaza, Mountain Home, AR, 72653
Phone Number
870-425-6212
Fax Number
870-424-3774
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
111814002 05 AR
57598 01 AR AR BCBS PROV
institution
Provider Business Practice Location Address Details
Address
# 17 Medical Plaza
City
State
Zip
72653
Phone Number
870-425-6212
Fax Number
870-424-3774
person
Provider Business Mailing Address Details
Address
# 17 Medical Plaza
City
State
Zip
72653
Phone Number
870-425-6212
Fax Number
870-424-3774
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
R2724 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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