| Organization Name: | DAVID C JOHNSON MD PC |
| NPI Number: | 1972736981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTI MENDOZA (OFFICE MANANGER) |
| Mailing Address: | 20950 N Tatum Blvd Suite 380 Phoenix |
| State: | AZ US |
| Postal Code: | 850504200 |
| Phone Number: | 4804192280 |
| Fax Number: | 4802192290 |
| NPI Enumeration Date: | 08/25/2009 |
| NPI Last Update Date: | 08/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 14158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |