Johnson, Darry S

Johnson, Darry S is an individual health care provider with primary practice located at 5620 W Thunderbird Rd Suite C-1, Glendale AZ 85306-4636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Johnson, Darry S can be contacted via phone (602) 938-6960.

Contact Information

Primary practice address
5620 W Thunderbird Rd Suite C-1 Glendale AZ 85306-4636
Phone: (602) 938-6960
Fax: (602) 938-6069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 21400 Arizona

Profile Details

NPI number 1326088428
LBN Legal business name Johnson, Darry S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326088428 NPPES
Arizona MEDICAID 168361

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