Cooper Johnston, D.O

NPI 1073992087 · on the registry since 2015

Practice

Address: 4122 N 17th St
Phoenix, AZ 85016
Phone: (928) 543-1515
Organisation at this address: Cmj Recovery Az Llc
Cmj Recovery Az Llc
Vogue Recovery Center
Vogue Recovery Arizona
Vogue Recovery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207QA0401X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona