Michael Johnson, PA

NPI #1669931705 in Moses Lake, Washington

Provider Information

NPI Number: 1669931705
Entity Type: Individual
Name: Michael Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 18, 2019
Last Updated: Apr 2, 2020

Practice Location

Address: 840 E HILL AVE
City: Moses Lake
State: Washington
ZIP Code: 98837-2238
Phone: (509) 663-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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