Ray W. Johnson in Prescott - Procedural Dermatology

Ray W. Johnson - NPI 1629099072

Ray W. Johnson is a Procedural Dermatology in Prescott, Arizona. Ray W. Johnson practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Ray W. Johnson is 1629099072. The last update date is 2023-10-25.

Ray W. Johnson's current location address is 830 Ainsworth Dr, Prescott, Arizona. You can contact this provider via phone number 9287775800 and fax number 9287760405. The mailing address for Ray W. Johnson is 830 Ainsworth Dr, Prescott, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ray W. Johnson
Address 830 Ainsworth Dr, Prescott, Arizona
Phone Number 9287775800
Fax Number 9287760405
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1629099072
Provider Enumeration Date 2006-07-21
Last Updated Date 2023-10-25

Provider Mailing Address Detail

Address 830 Ainsworth Dr
City Prescott
State Arizona (AZ)
Post Code 863011630
Phone Number 9287775800
Fax Number 9287760405

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No AZ29683
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
622284 AZ --

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FAQs about Ray W. Johnson

What is the Ray W. Johnson's 1629099072?

The Ray W. Johnson's NPI (National Provider Identifier) Number is 1629099072. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Ray W. Johnson is geographically located?

The Ray W. Johnson is physically situated at the following location: 830 Ainsworth Dr, Prescott, AZ, 863011630.

What is Ray W. Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ray W. Johnson is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.

On what date did the Ray W. Johnson receive the assignment of its 1629099072 from the Centers for Medicare & Medicaid Services?

The Ray W. Johnson was issued its 1629099072 by the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information pertaining to Ray W. Johnson most recently updated or revised?

The details related to Ray W. Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-25.

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