MR. Benjamin L Johnson, PA-C, ATC

NPI #1336301480 in Lubbock, Texas

Provider Information

NPI Number: 1336301480
Entity Type: Individual
Name: MR. Benjamin L Johnson, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Jun 30, 2008
Last Updated: May 18, 2016

Practice Location

Address: 2703 82ND ST
City: Lubbock
State: Texas
ZIP Code: 79423-1429
Phone: (806) 761-0333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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