MS. Stephanie Diane Johnson, PHYSICIAN ASSISTANT

NPI #1285693770 in Lutherville, Maryland

Provider Information

NPI Number: 1285693770
Entity Type: Individual
Name: MS. Stephanie Diane Johnson, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Mar 22, 2006
Last Updated: Apr 5, 2018

Practice Location

Address: 10755 FALLS RD
Address 2: SUITE 160
City: Lutherville
State: Maryland
ZIP Code: 21093-4515
Phone: (410) 583-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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