Shannon Johnstad, PA

NPI #1285391821 in Thornton, Colorado

Provider Information

NPI Number
1285391821
Entity Type
Individual
Name
Shannon Johnstad, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Nov 18, 2021
Last Updated
Jan 17, 2022

Practice Location

Address
2501 E 104TH AVE
ZIP Code
80233-4401
Phone
(303) 255-4100

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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