John Brock Johansen
Medical Specialty
Professional ID
- NPI: 1023422193
- PECOS ID: 6305152257
- Enrollment ID: I20150908002926
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 030092
- Business Name (LBN)1: Honorhealth Deer Valley Medical Center
Medical Practices
- Organization Name: Anthem Physical Medicine Llc
- Group Practice ID assigned by PECOS: 4587968391
- Number of Group Practice member: 3
Location
- Address1: 3624 W Anthem Way
- Address2:
- City: Anthem
- State: Arizona
- Zip Code: 85086
- Phone Number: (623)551-9950
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):