Charles David Johnson JR.

NPI 1568696177 - Physician Assistant - 363A00000X

NPI Details
NPI 1568696177
Gender Male
Enumeration Date 05/11/2009
Last Updated 05/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
309 JACKSON ST
MONROE LA, 71201-7407, US
Phone (318) 327-4000
Fax
Business Location
309 JACKSON ST
MONROE LA, 71201-7407, US
Phone (318) 327-4000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Louisiana
License Number A10581
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According to our database, Charles David Johnson JR. NPI is 1568696177, taxonomy code is 363A00000X and license number is A10581, license state is located at Louisiana. Charles David Johnson JR. physically located at 309 Jackson St, Monroe LA, 71201-7407. NPI Number Charles David Johnson JR. has the Individual type.

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1568696177 NPI number is provided on an as is basis without warranty of any kind. 1568696177 is maintained by the National Plan & Provider Enumeration System. The contents of Charles David Johnson JR. are for informational purposes only.