Dr JOHN BROCK JOHANSEN is a male medical professional, specializing in Chiropractic. He graduated in 2012.
ANTHEM PHYSICAL MEDICINE LLC
3624 W ANTHEM WAY
ANTHEM
AZ
850860440
Tel: 6235519950
| Npi | 1023422193 |
| Pac Id | 6305152257 |
| Professional Enrollment Id | I20150908002926 |
| Last Name | JOHANSEN |
| First Name | JOHN |
| Middle Name | BROCK |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | CHIROPRACTIC |
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| Organization Legal Name | ANTHEM PHYSICAL MEDICINE LLC |
| Group Practice Pac Id | 4587968391 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 3624 W ANTHEM WAY |
| Line 2 Street Address | |
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| City | ANTHEM |
| State | AZ |
| Zip Code | 850860440 |
| Phone Number | 6235519950 |
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| Professional Accepts Medicare Assignment | Y |
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