OrganizationActive
Em Medical Management of Fort Mohave, LLC
NPI 1962959767 · Emergency Medicine Physician · Fort Mohave, AZ
Provider details
- NPI number
- 1962959767
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Johnson, President(219) 629-0453
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone: (928) 788-7069
Approximate (ZIP-level) locationGet directions
Mailing address
307 W Alamosa Dr
Chandler, AZ 85248-5303
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2016-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.