Individual provider · Type 1 NPI

Charles D. Johnson, P.A.-C.

Surgical Physician Assistant · Phoenix, AZ

NPI number 1306829494 Active

Practice location

5779 E Mayo Blvd
Phoenix, AZ 85054-4502

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant Primary	363AS0400X	1494 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1306829494

Charles D. Johnson, P.A.-C.'s National Provider Identifier is 1306829494, issued on Nov 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 30, 2007.