Search › Arizona › 367500000X
Kord Johnson
NPI 1306427380 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10116 E Tarragon Ave
Mesa, AZ 85212 - Phone
- (480) 313-8783
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona