Reagan Johnson

NPI #1194320523 in Montgomery, West Virginia

Provider Information

NPI Number: 1194320523
Entity Type: Individual
Name: Reagan Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 3, 2020
Last Updated: Apr 19, 2024

Practice Location

Address: 401 6TH AVE
City: Montgomery
State: West Virginia
ZIP Code: 25136-2116
Phone: (304) 442-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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