IndividualActive
Charles Johnson, M.D.
NPI 1336129667 · Dermatology Physician · Prescott, AZ
Provider details
- NPI number
- 1336129667
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 17178 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
830 Ainsworth Drive
Prescott, AZ 86301-1614
Phone: (928) 776-0325
Fax: (928) 776-0405
Approximate (ZIP-level) locationGet directions
Mailing address
830 Ainsworth Dr
Prescott, AZ 86301-1630
Additional practice locations (3)
- 203 S Candy Ln Ste 14Cottonwood, AZ 86326-4120Phone: (928) 639-3387Fax: (928) 634-0311
- 18325 N Allied Way Ste 120Phoenix, AZ 85054-3107Phone: (928) 776-0325Fax: (928) 776-0405
- 2820 N Glassford Hill Rd Ste 107Prescott Valley, AZ 86314-2256Phone: (928) 772-8553Fax: (928) 772-3861
Registry dates
- Enumerated
- 2006-01-20
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.