MR. Jeffrey Kim Johnson, PA-C
NPI #1346659711 in Grandview, Washington
Provider Information
- NPI Number
- 1346659711
- Entity Type
- Individual
- Name
- MR. Jeffrey Kim Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Aug 10, 2014
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 1000 WALLACE WAY
- City
- Grandview
- State
- Washington
- ZIP Code
- 98930-8805
- Phone
- (509) 882-3444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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