| Ms Carol A Johnson, DO | |
|
410 N Malacate St, Ajo, AZ 85321-2254 | |
| (520) 387-5651 | |
| (520) 387-6036 |
| Full Name | Ms Carol A Johnson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 410 N Malacate St, Ajo, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811957145 | NPI | - | NPPES |
| 861949 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4080 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carol A Johnson, DO 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 | Ms Carol A Johnson, DO 410 N Malacate St, Ajo, AZ 85321-2254 Ph: (520) 387-5651 |
Jeffrey R Lavoy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 N Malacate St, Ajo, AZ 85321 Phone: 520-387-5651 Fax: 520-387-6036 | |
Thomas Eugene Horst, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 410 N Malacate St Ste 100, Ajo, AZ 85321 Phone: 520-387-5651 Fax: 520-387-6036 |