Em Medical Management of Fort Mohave, LLC
NPI #1962959767 in Fort Mohave, Arizona
Provider Information
- NPI Number
- 1962959767
- Entity Type
- Organization
- Organization Name
- Em Medical Management of Fort Mohave, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Sep 8, 2016
- Last Updated
- Sep 9, 2016
Practice Location
- Address
- 5330 S HIGHWAY 95
- City
- Fort Mohave
- State
- Arizona
- ZIP Code
- 86426-9225
- Phone
- (928) 788-7069
Authorized Official
- Name
- FREDERICK JOHNSON, MD
- Title
- PRESIDENT
- Phone
- (219) 629-0453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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