Whalio Doctors

NPI 1811928013

Miles McHaney Johnson, MD

Practitioner Electrodiagnostic Medicine Physician Fayetteville, AR

Practice location

Address
2820 E Millennium Pl Suite 1, Fayetteville, AR 72703-6514
Phone
(479) 251-8055
Fax
(479) 251-1511
Mailing address
PO Box 9450, Fayetteville, AR 72703-0025

Registered specialties (3)

Electrodiagnostic Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204R00000X Licence E0060 (AR)
Specialist
Other Service Providers Taxonomy 174400000X Licence E-0060 (AR)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence E0060 (AR)

Registry record

NPI
1811928013
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jul 2006
Record last updated
14 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.