Miles M Johnson, M.d. P.a.

NPI 1194717462 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1194717462
Enumeration Date 08/22/2005
Last Updated 06/14/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MILES M MILES
Position PRESIDENT/DOCTOR
Phone (479) 251-8055
Fax
Practice Location
2820 E MILLENNIUM PL
SUITE 1
FAYETTEVILLE AR, 72703-6514, US
Phone (479) 251-8055
Fax
Business Location
PO BOX 9450
FAYETTEVILLE AR, 72703-0025, US
Phone (479) 251-8055
Fax (479) 251-1511
Toxanomy
Taxonomy Code 208100000X
License State
License Number
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According to our database, Miles M Johnson, M.d. P.a. NPI is 1194717462, taxonomy code is 208100000X Miles M Johnson, M.d. P.a. physically located at 2820 E Millennium Pl, Fayetteville AR, 72703-6514. NPI Number 1033115704 has the healthcare provider type.

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1194717462 NPI number is provided on an as is basis without warranty of any kind. 1194717462 is maintained by the National Plan & Provider Enumeration System. The contents of Miles M Johnson, M.d. P.a. are for informational purposes only.