Individual
RANDA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
949 HARMON ST, STURGIS, SD 57785-2452
(605) 720-2400
(605) 720-0338
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0720
SD
Other
Enumeration date
08/01/2007
Last updated
06/05/2014
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