Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Joseph A Johnson

Individual provider Prevention Professional · NPI 1003684317

Mr. Joseph A Johnson is a Prevention Professional in Queen Creek, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

2791 W Mineral Butte Dr
Queen Creek, AZ 85144-4734
Phone: (623) 703-5765
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Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 000000 (AZ)

Record details

NPI number1003684317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address2791 W Mineral Butte Dr, Queen Creek, AZ 85144-4734

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