Jennifer Anne Johnstad PA-C

NPI 1336325620 - Physician Assistant - 363AS0400X

NPI Details
NPI 1336325620
Gender Female
Enumeration Date 01/16/2008
Last Updated 09/17/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1500 S DOBSON RD
SUITE 203
MESA AZ, 85202-4713, US
Phone (480) 512-3970
Fax (480) 512-5486
Business Location
1500 S DOBSON RD
SUITE 203
MESA AZ, 85202-4713, US
Phone (480) 512-3970
Fax (480) 512-5486
Toxanomy
Taxonomy Code 363AS0400X
License State Arizona
License Number 2492
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According to our database, Mrs. Jennifer Anne Johnstad PA-C NPI is 1336325620, taxonomy code is 363AS0400X and license number is 2492, license state is located at Arizona. Jennifer Anne Johnstad PA-C physically located at 1500 S Dobson Rd, Mesa AZ, 85202-4713. NPI Number Jennifer Anne Johnstad PA-C has the Individual type.

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1336325620 NPI number is provided on an as is basis without warranty of any kind. 1336325620 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Anne Johnstad PA-C are for informational purposes only.