Charles E Johnson, PA-C

NPI #1124090949 in Pahrump, Nevada

Provider Information

NPI Number: 1124090949
Entity Type: Individual
Name: Charles E Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 6, 2006
Last Updated: Jan 25, 2012

Practice Location

Address: 1501 E CALVADA BLVD
City: Pahrump
State: Nevada
ZIP Code: 89048-5807
Phone: (775) 727-5509

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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