Stacey M Johnson MD PA
NPI #1831203512 in Mountain Home, Arkansas
Provider Information
- NPI Number
- 1831203512
- Entity Type
- Organization
- Organization Name
- Stacey M Johnson MD PA
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 18, 2006
- Last Updated
- May 29, 2008
Practice Location
- Address
- # 17 MEDICAL PLAZA
- City
- Mountain Home
- State
- Arkansas
- ZIP Code
- 72653
- Phone
- (870) 425-6212
Authorized Official
- Name
- PETE ROSS
- Title
- COO VP OF OPERATIONS
- Phone
- (870) 425-6212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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