Sophia Johnson, DO | |
1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 | |
(928) 753-3303 | |
(928) 753-3603 |
Full Name | Sophia Johnson |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1726 E Beverly Ave Ste A, Kingman, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467897595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OT015152 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 007365 (Arizona) | Primary |
Entity Name | Dlp Conemaugh Miners Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629471768 PECOS PAC ID: 2860612439 Enrollment ID: O20141030001653 |
Mailing Address | Practice Location Address |
---|---|
Sophia Johnson, DO 1739 E Beverly Ave Ste 200, Kingman, AZ 86409-3593 Ph: (928) 263-4722 | Sophia Johnson, DO 1726 E Beverly Ave Ste A, Kingman, AZ 86409-3500 Ph: (928) 753-3303 |
Brian Jahnny, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 Fax: 928-681-8638 | |
Dr. Tanner Jace Hancock, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-3160 | |
Brandon D Perry, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Joseph Aaron Bradbury, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 | |
Jeremy Gabriel Barnes, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Harrison St Apt 124, Kingman, AZ 86409 Phone: 602-301-5909 | |
Daniel Porter, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101 | |
Lindsey Colling, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4466 |