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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

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