Barry Todd Johnson MPAS, PA-C

NPI 1093907974 - Physician Assistant - 363A00000X

NPI Details
NPI 1093907974
Gender Male
Enumeration Date 08/14/2007
Last Updated 08/14/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
26701 S STATE ROUTE 85
BUCKEYE AZ, 85326, US
Phone (623) 386-8000
Fax
Business Location
26701 S STATE ROUTE 85
BUCKEYE AZ, 85326, US
Phone (623) 386-8000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 2004
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According to our database, Barry Todd Johnson MPAS, PA-C NPI is 1093907974, taxonomy code is 363A00000X and license number is 2004, license state is located at Arizona. Barry Todd Johnson MPAS, PA-C physically located at 26701 S State Route 85, Buckeye AZ, 85326. NPI Number Barry Todd Johnson MPAS, PA-C has the Individual type.

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1093907974 NPI number is provided on an as is basis without warranty of any kind. 1093907974 is maintained by the National Plan & Provider Enumeration System. The contents of Barry Todd Johnson MPAS, PA-C are for informational purposes only.