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JOHNNY VANDIVER, PA
PA
Physician Assistant
NPI: 1629059126IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 1998
Contact & Hours
- Address
- 12233 24TH STREET
JOINT BASE LEWIS MCHORD, WA 98433 - Phone
- (253) 477-5734
Quick Facts
- NPI
- 1629059126
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 28
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