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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY M JOHNSON MD PA

Active Organization

STACEY M JOHNSON MD PA is a Specialist organization located in MOUNTAIN HOME, Arkansas. NPI 1831203512 is currently active in the NPPES registry. Verify at CMS.

Specialist · MOUNTAIN HOME, AR

Registration Details

NPI Number
1831203512
Provider Type
Organization
NPI Issued
Aug 18, 2006 (20.010411187663 yrs)
Last Updated
May 29, 2008
License
R2724 (AR)

Practice Information

Address
# 17 MEDICAL PLAZA
MOUNTAIN HOME, AR, 72653
Browse AR providers · Browse ZIP 72653
Phone
8704256212
Fax
8704243774
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.