Charles D Johnson is a Surgical in Phoenix, Arizona. Charles D Johnson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Charles D Johnson is 1306829494. The last update date is 2007-10-30.
Charles D Johnson's current location address is 5779 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Charles D Johnson is 5779 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Johnson |
|---|---|
| Address | 5779 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1306829494 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 5779 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1494 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 351627 | AZ | -- | |
| 86080015085259A | AZ | TRIWEST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles D Johnson by the Centers for Medicare & Medicaid Services?
The Charles D Johnson has been assigned the NPI (National Provider Identifier) 1306829494 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Charles D Johnson located?
The Charles D Johnson is located at 5779 E Mayo Blvd, Phoenix, AZ 850544502.
What is Charles D Johnson's area of expertise and its corresponding taxonomy classification?
The Charles D Johnson's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
When did the Charles D Johnson receive its 1306829494?
The Charles D Johnson was issued its 1306829494 on 2005-11-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Charles D Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles D Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-30.
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