Provider Demographics
NPI:1770337230
Name:APHR OF JOHNSON
Entity type:Organization
Organization Name:APHR OF JOHNSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:479-306-0639
Mailing Address - Street 1:4275 S THOMPSON ST STE B
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-1000
Mailing Address - Country:US
Mailing Address - Phone:479-308-6700
Mailing Address - Fax:800-707-4585
Practice Address - Street 1:4275 S THOMPSON ST STE B
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-1000
Practice Address - Country:US
Practice Address - Phone:479-308-6700
Practice Address - Fax:800-707-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty