Individual
BARRY TODD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
26701 S STATE ROUTE 85, BUCKEYE, AZ 85326
(623) 386-8000
Mailing address
26701 S STATE ROUTE 85, BUCKEYE, AZ 85326
(623) 386-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004
AZ
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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