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NPI Code Detail

MEDICARE: STEPHEN SHEPHERD JOHNSTON MD

MEDICARE: STEPHEN SHEPHERD JOHNSTON MD
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
12085R0202XDiagnostic Radiology Physician330999LA
22085R0202XDiagnostic Radiology PhysicianME170763FL
32085R0202XDiagnostic Radiology PhysicianR73777AZ

General Provider Information

NPI Number : 1730525841
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SHEPHERD JOHNSTON MD
Provider Business Mailing Address
First Line : 2492 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85718-9552
Country : US
Telephone Number : 520-722-8994
Fax Number :
Provider Business Practice Location Address
First Line : 2492 E RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85718-9552
Country : US
Telephone Number : 520-722-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 02/06/2026

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Directions to “ STEPHEN SHEPHERD JOHNSTON MD” Practice Location

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