MR. Jerry Albert Johnstone, PHYSICIAN ASSISTANT

NPI #1326370420 in Lake City, Texas

Provider Information

NPI Number: 1326370420
Entity Type: Individual
Name: MR. Jerry Albert Johnstone, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Feb 1, 2010
Last Updated: Feb 1, 2010

Practice Location

Address: 1201 ENTERPRISE AVE
Address 2: APT 610
City: Lake City
State: Texas
ZIP Code: 77573
Phone: (806) 396-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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