Individual
DARREL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1200 S 7TH AVE, STE 2, SIOUX FALLS, SD 57105-0998
(605) 336-2140
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57117-6430
(605) 322-4900
(605) 322-4910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0266
SD
363AM0700X
Medical Physician Assistant
Primary
0266
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6826102
—
SD
Enumeration date
06/27/2006
Last updated
04/15/2010
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