Miles M Johnson, M.d. P.a.
NPI #1194717462 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1194717462
- Entity Type
- Organization
- Organization Name
- Miles M Johnson, M.d. P.a.
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Aug 22, 2005
- Last Updated
- Jun 14, 2013
Practice Location
- Address
- 2820 E MILLENNIUM PL
- Address 2
- SUITE 1
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-6514
- Phone
- (479) 251-8055
Authorized Official
- Name
- DR. MILES M JOHNSON, MD
- Title
- PRESIDENT/DOCTOR
- Phone
- (479) 251-8055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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