Rickie E. Johnson, PA Valid NPI
Individual provider · Physician Assistant · Hill Air Force Base, UT
- NPI
- 1982681292
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- A10226 (LA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-28
- Last updated
- 2018-04-09
Practice location
7238 6th St Bldg 249
Hill Air Force Base, UT 84056-5213
(801) 777-1155