Robert Edward Johnson PA-C

NPI 1609969674 - Physician Assistant - 363AM0700X

NPI Details
NPI 1609969674
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
125 SW 7TH ST
WILLISTON FL, 32696-2403, US
Phone (352) 528-2801
Fax
Business Location
125 SW 7TH ST
WILLISTON FL, 32696-2403, US
Phone (352) 528-2801
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 0010-02065
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According to our database, Robert Edward Johnson PA-C NPI is 1609969674, taxonomy code is 363AM0700X and license number is 0010-02065, license state is located at North Carolina. Robert Edward Johnson PA-C physically located at 125 Sw 7th St, Williston FL, 32696-2403. NPI Number Robert Edward Johnson PA-C has the Individual type.

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1609969674 NPI number is provided on an as is basis without warranty of any kind. 1609969674 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Edward Johnson PA-C are for informational purposes only.