Individual provider · Type 1 NPI
Joshua R. Johnson, PA
Medical Physician Assistant · Bradley, IL
NPI number
1376840421
Active
Practice location
400 S. Kennedy
Bradley, IL 60915
Fax (800) 505-2218
Mailing address
400 S Kennedy Dr
Bradley, IL 60915-2682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085003901 (IL) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Bradley
About NPI 1376840421
Joshua R. Johnson, PA's National Provider Identifier is 1376840421, issued on Feb 24, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bradley, IL. The record was last updated on Feb 24, 2011.