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1306829494
CHARLES D JOHNSON
PHOENIX, AZ
NPI
1306829494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: AZ 1494)
Enumeration Date
2005-11-22
Last Update Date
2007-10-30
Business Address
CHARLES D JOHNSON P.A.-C.
5779 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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Mailing Address
CHARLES D JOHNSON P.A.-C.
5779 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
Copy
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