MR. Rickie E. Johnson, PA

NPI #1982681292 in Hill Air Force Base, Utah

Provider Information

NPI Number: 1982681292
Entity Type: Individual
Name: MR. Rickie E. Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 28, 2005
Last Updated: Apr 9, 2018

Practice Location

Address: 7238 6TH ST BLDG 249
City: Hill Air Force Base
State: Utah
ZIP Code: 84056-5213
Phone: (801) 777-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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