| Professional Natural Medical | |
|
9700 N 91st St Ste A115 Scottsdale AZ 85258-5036 | |
| (480) 322-8577 | |
| Not Available |
| Full Name | Professional Natural Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 9700 N 91st St Ste A115, Scottsdale, Arizona |
| Authorized Official Name and Position | Nick James Johnson (PHYSICIAN) |
| Authorized Official Contact | 4803228577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Natural Medical Nickjohnson369021@outlook.com 1432 W. Birch Rd San Tan Valley AZ 85140 Ph: (480) 322-8577 | Professional Natural Medical 9700 N 91st St Ste A115 Scottsdale AZ 85258-5036 Ph: (480) 322-8577 |
| NPI Number | 1407495286 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407495286 | NPI | - | NPPES |
| 495858 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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