Timothy W Johnson, PA

NPI #1033425145 in Avon, Indiana

Provider Information

NPI Number: 1033425145
Entity Type: Individual
Name: Timothy W Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 26, 2010
Last Updated: Aug 26, 2010

Practice Location

Address: 1111 RONALD REAGAN PKWY
City: Avon
State: Indiana
ZIP Code: 46123-7085
Phone: (317) 472-7317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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