Stacy Nicole Johnson, PA-S

NPI #1497993703 in Arvada, Colorado

Provider Information

NPI Number: 1497993703
Entity Type: Individual
Name: Stacy Nicole Johnson, PA-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-S
Enumeration Date: Jan 23, 2009
Last Updated: Nov 28, 2011

Practice Location

Address: 11651 W 64TH AVE
Address 2: D-5
City: Arvada
State: Colorado
ZIP Code: 80004-4323
Phone: (303) 425-5536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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