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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
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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