Individual provider · Type 1 NPI

Cooper Johnston, DO

Family Medicine Physician · Phoenix, AZ

NPI number 1073992087 Active · reactivated Jul 8, 2020

Practice location

4122 N 17th St
Phoenix, AZ 85016-5922

Call (928) 543-1515 Map

Mailing address

22744 E Maya Rd
Queen Creek, AZ 85142-2834

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401X007402 (AZ)
Family Medicine Physician Primary 207Q00000X007402 (AZ)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1073992087

Cooper Johnston, DO's National Provider Identifier is 1073992087, issued on May 22, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 21, 2024.