Individual provider · Type 1 NPI

Cassidy Blaire Johnson, PA-C

Surgical Physician Assistant · Mayfield Heights, OH

NPI number 1669723391 Active

Practice location

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203

Mailing address

PO Box 74647
Cleveland, OH 44194-4647

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50003589 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1669723391

Cassidy Blaire Johnson, PA-C's National Provider Identifier is 1669723391, issued on Sep 20, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mayfield Heights, OH. The record was last updated on Aug 3, 2015.