Kirk A Johnson PA

NPI 1700086949 - Physician Assistant - 363A00000X

NPI Details
NPI 1700086949
Gender Male
Enumeration Date 07/24/2007
Last Updated 05/06/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1630 E HERNDON AVE
FRESNO CA, 93720-3305, US
Phone (559) 256-5200
Fax
Business Location
1630 E HERNDON AVE
FRESNO CA, 93720-3305, US
Phone (559) 256-5200
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA 19261
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According to our database, Kirk A Johnson PA NPI is 1700086949, taxonomy code is 363A00000X and license number is PA 19261, license state is located at California. Kirk A Johnson PA physically located at 1630 E Herndon Ave, Fresno CA, 93720-3305. NPI Number Kirk A Johnson PA has the Individual type.

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1700086949 NPI number is provided on an as is basis without warranty of any kind. 1700086949 is maintained by the National Plan & Provider Enumeration System. The contents of Kirk A Johnson PA are for informational purposes only.