Johnson, Mystie L

Johnson, Mystie L is an individual health care provider with primary practice located at 9305 W Thomas Rd Ste 155, Phoenix AZ 85037-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Johnson, Mystie L can be contacted via phone (623) 936-1780.

Contact Information

Primary practice address
9305 W Thomas Rd Ste 155 Phoenix AZ 85037-3328
Phone: (623) 936-1780
Fax: (623) 936-9116
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 27778 Arizona
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 27778 Arizona

Profile Details

NPI number 1467457747
LBN Legal business name Johnson, Mystie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 20th, 2011 - about 13 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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