SearchArizonaDiagnostic Radiology Physician

Jedidiah Johnson, PA-C

NPI 1689155673 · on the registry since 2018

Practice

Address
6424 E Broadway Rd Ste 101
Mesa, AZ 85206
Phone
(480) 456-9000
Organisation at this address
Tonto Tech Llc
Optimal Tech Llc
Vito Anesthesia Llc
Pine Monitoring Llc
Bsp Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
40

Additional practice sites

  • 1201 S Alma School Rd Ste 14000, Mesa, AZ

Registry record

Primary taxonomy
Diagnostic Radiology Physician
2085R0202X
Also registered as
Physician Assistant
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-01-30

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