Provider Demographics
NPI:1588967830
Name:JOHNS, JANET SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:SUSAN
Last Name:JOHNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:SUSAN
Other - Last Name:JOHNSBULLARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:22526 N HERMOSILLO DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-3045
Mailing Address - Country:US
Mailing Address - Phone:623-214-7861
Mailing Address - Fax:623-214-7861
Practice Address - Street 1:22526 N HERMOSILLO DR
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-3045
Practice Address - Country:US
Practice Address - Phone:623-214-7861
Practice Address - Fax:623-214-7861
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24998207Q00000X
IN01021181A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine