| Joseph W. Johnson, M.D., Ltd | |
|
106 E. Lake Mead Parkway Suite 104 Henderson NV 89015-5534 | |
| (702) 565-8911 | |
| (702) 565-9884 |
| Full Name | Joseph W. Johnson, M.D., Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 106 E. Lake Mead Parkway, Henderson, Nevada |
| Authorized Official Name and Position | Joseph W Johnson (PRESIDENT) |
| Authorized Official Contact | 7025658911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph W. Johnson, M.D., Ltd 106 E Lake Mead Parkway Suite 104 Henderson NV 89015-5534 Ph: (702) 565-8911 | Joseph W. Johnson, M.D., Ltd 106 E. Lake Mead Parkway Suite 104 Henderson NV 89015-5534 Ph: (702) 565-8911 |
| NPI Number | 1699085548 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699085548 | NPI | - | NPPES |
| 100506440 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3304 (Nevada) | Primary |
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