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STEVEN BOYD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Mailing address
PO BOX 775641, CHICAGO, IL 60677-6084
(479) 250-1053
(479) 250-0923

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-457
AR

Other

Enumeration date
10/14/2011
Last updated
04/29/2025
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