Stacey M Johnson Md Pa - Mountain Home, AR

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.

Location: # 17 Medical Plaza, Mountain Home, AR, 72653

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

Identifier	Type	State	Issuer
111814002	05	AR
57598	01	AR	AR BCBS PROV

Address

# 17 Medical Plaza

City

Mountain Home

State

Arkansas

Zip

72653

Phone Number

870-425-6212

Fax Number

870-424-3774

Address

# 17 Medical Plaza

City

Mountain Home

State

Arkansas

Zip

72653

Phone Number

870-425-6212

Fax Number

870-424-3774

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

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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