MEDICARE: DR. JANICE G JOHNSTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	23316	AZ

General Provider Information

NPI Number	:	1144271461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANICE G JOHNSTON M.D.

Provider Business Mailing Address
First Line	:	2020 N CENTRAL AVE STE 400
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4510
Country	:	US
Telephone Number	:	888-407-7928
Fax Number	:	800-768-2175

Provider Business Practice Location Address
First Line	:	2020 N CENTRAL AVE STE 400
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-4510
Country	:	US
Telephone Number	:	888-407-7928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/29/2025

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