Johnna Packer, PA

NPI #1073848065 in Claremore, Oklahoma

Provider Information

NPI Number: 1073848065
Entity Type: Individual
Name: Johnna Packer, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 8, 2009
Last Updated: Jan 11, 2012

Practice Location

Address: 17599 S HIGHWAY 88
Address 2: STABILIZATION CENTER
City: Claremore
State: Oklahoma
ZIP Code: 74018-0801
Phone: (918) 273-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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