Individual provider · Type 1 NPI

Steven Boyd Johnson, PA-C

Medical Physician Assistant · Bentonville, AR

NPI number 1104101716 Active

Practice location

3101 SE 14th St
Bentonville, AR 72712-4900

Call (479) 250-1053 Map

Fax (479) 250-0923

Mailing address

PO Box 775641
Chicago, IL 60677-6084

Other practice locations

  • 1673 N College Ave, Fayetteville, AR 72703-1919 · (479) 521-0200

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-457 (AR)

Medical Physician Assistant: Definition to come...

50 other providers at this address

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About NPI 1104101716

Steven Boyd Johnson, PA-C's National Provider Identifier is 1104101716, issued on Oct 14, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bentonville, AR. The record was last updated on Apr 29, 2025.