Most Relevant Information
Provider Data
| NPI Number: | 1003684317 |
| Provider Name: | JOSEPH A JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 405300000X |
| Specialty: | Prevention Professional |
| License Number: | 000000 |
Most Important Dates
| Enumeration Date: | 12/15/2023 |
| Last Updated: | 12/15/2023 |
Provider Practice Location
2791 W MINERAL BUTTE DR
QUEEN CREEK
AZ
851444734
Practice Location Phone/Fax
| Phone: | 6237035765 |
| Fax: |
Provider Mailing Location
2791 W MINERAL BUTTE DR
QUEEN CREEK
AZ
851444734
Provider Mailing Phone/Fax
| Phone: | 6237035765 |
| Fax: |