Nathaniel Reagor Johnson
Pediatric Emergency Physician
2746 N Warren Ave
Tucson
, Arizona 85719-3142
Nathaniel Reagor Johnson
Pediatric Emergency Physician
2746 N Warren Ave
Tucson
, Arizona 85719-3142
(520) 626-2480
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Nathaniel Reagor Johnson
- 2746 N Warren Ave
- Tucson, AZ
- Zip : 85719-3142
- Fax : (520) 626-2480
- Phone : (505) 264-9790
Second Address
- Nathaniel Reagor Johnson
- 2746 N Warren Ave
- Tucson, AZ
- Zip : 85719-3142
- Fax : (520) 626-2480
- Phone : (505) 264-9790
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 80809 | AZ |
National Provider Identifier
| NPI | 1083886212 |
|---|---|
| Provider Name | Nathaniel Reagor Johnson |
| First Address | Tucson, AZ 85719-3142 |
| Second Address | Tucson, AZ 85719-3142 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2008 |
| Last Update Date | 27/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.