MR. Scott Roger Johnson, PA-C

NPI #1275719650 in La Pine, Oregon

Provider Information

NPI Number: 1275719650
Entity Type: Individual
Name: MR. Scott Roger Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 15, 2008
Last Updated: Sep 8, 2022

Practice Location

Address: 51600 HUNTINGTON RD
City: La Pine
State: Oregon
ZIP Code: 97739-8887
Phone: (541) 536-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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