MICAH JOHNSON

Physician Assistant

NPI: 1326469248IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

0003846(CO)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2013

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Contact & Hours

Address: 1600 N. GRAND AVE., STE. 508
PUEBLO, CO 81003
Phone: (719) 595-7040

Quick Facts

NPI: 1326469248
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 13

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