RICHARD KENT JOHANSEN

FLAGSTAFF, AZ
NPI1144213596
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: AZ  20135)
Enumeration Date2005-08-31
Last Update Date2012-08-06
Business Address
-- RICHARD KENT JOHANSEN MD
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001-3260
Phone number: 928-779-7851
Mailing Address
-- RICHARD KENT JOHANSEN MD
1100 N SAN FRANCISCO ST STE B
FLAGSTAFF, AZ 86001-3260
Phone number: 928-779-7851