Individual provider · Type 1 NPI
Johnny Ray Vandiver, PA
Physician Assistant · Joint Base Lewis Mchord, WA
Practice location
12233 24th Street
Joint Base Lewis Mchord, WA 98433
Mailing address
PO Box 33154
Juneau, AK 99803-3154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | None listed |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
About NPI 1629059126
Johnny Ray Vandiver, PA's National Provider Identifier is 1629059126, issued on Nov 10, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Joint Base Lewis Mchord, WA. The record was last updated on Nov 7, 2012.