Matthew Johnson, PHYSICIAN ASSISTANT

NPI #1053870717 in Longview, Washington

Provider Information

NPI Number
1053870717
Entity Type
Individual
Name
Matthew Johnson, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Mar 12, 2019
Last Updated
Mar 24, 2021

Practice Location

Address
1615 DELAWARE ST
ZIP Code
98632-2367
Phone
(360) 414-2730

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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