Individual
MRS. BROOKE AMANDA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 OCTORARA TRAIL, PARKESBURG, PA 19365-2100
(610) 857-6639
(484) 334-7026
Mailing address
950 OCTORARA TRAIL, PARKESBURG, PA 19365-2100
(610) 857-6639
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061085
PA
Other
Enumeration date
09/20/2019
Last updated
05/24/2022
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