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Charles E Johnson, PA-C

Physician Assistant in Pahrump, NV. Individual provider (NPI-1).

NPI number1124090949
StatusActive
Last updated in NPPESJan 25, 2012

Details

NPI
1124090949
Entity type
Individual (NPI-1)
Name
Charles E Johnson
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Feb 6, 2006
Last updated
Jan 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA-C0149NVYes

Practice location

1501 E Calvada Blvd
Pahrump, NV 89048-5807

Phone 775-727-5509 · Fax 775-727-5696

Mailing address

Po Box 98978
Las Vegas, NV 89193-8978

Phone 702-507-2419 · Fax 702-671-6883

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Other Physician Assistant providers in Pahrump, NV

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