Larry Dean Johnson, PA

NPI #1205970365 in Branson, Missouri

Provider Information

NPI Number: 1205970365
Entity Type: Individual
Name: Larry Dean Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 20, 2007
Last Updated: May 26, 2021

Practice Location

Address: 525 BRANSON LANDING BLVD
City: Branson
State: Missouri
ZIP Code: 65616-2052
Phone: (417) 348-8646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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