IndividualActive
Jason Johnson, D.O.
NPI 1780709394 · Plastic Surgery Physician · Peoria, AZ
Provider details
- NPI number
- 1780709394
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 006929 (AZ)
Practice location
15396 N 83rd Ave Ste B100
Peoria, AZ 85381-5626
Phone: (602) 610-2999
Fax: (623) 321-7821
Mailing address
15396 N 83rd Ave Ste B100
Peoria, AZ 85381-5626
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.