Individual provider · Type 1 NPI

Jedidiah Johnson, PA-C

Diagnostic Radiology Physician · Mesa, AZ

NPI number 1689155673 Active

Practice location

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750

Call (480) 456-9000 Map

Mailing address

1201 S Alma School Rd Ste 14000
Mesa, AZ 85210-2096

Other practice locations

  • 1201 S Alma School Rd Ste 14000, Mesa, AZ 85210-2096 · (480) 545-9779

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X7194 (AZ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689155673

Jedidiah Johnson, PA-C's National Provider Identifier is 1689155673, issued on Aug 27, 2018. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mesa, AZ. The record was last updated on Jan 30, 2019.