Individual
SCOTT B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Mailing address
312 9TH ST SW, SUITE 1200, WAVERLY, IA 50677-2929
(319) 352-4340
(319) 352-0745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000750
IA
Other
Enumeration date
01/04/2006
Last updated
11/02/2007
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