Individual
MELANIE M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(719) 290-6377
Mailing address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(719) 290-6377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
11/30/2021
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