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HEATHER ANN JOHNSTON PHYSICIAN ASSISTANT

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1588690713

Individual Registrant:
 HEATHER ANN JOHNSTON PHYSICIAN ASSISTANT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
MADIGAN ARMY MEDICAL CENTER  FT. LEWIS, WA 98431 US
Tel: 253-968-0770  Fax: --

Contact information for business:
1872 PALISADE BLVD  DUPONT, WA 98327-9718 US
Tel: 253-964-2158  Fax: --

Registration Information:
NPI: 1588690713
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
VA0110001557

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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