Individual
MS. STEPHANIE DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10755 FALLS RD, SUITE 160, LUTHERVILLE, MD 21093-4515
(410) 583-2777
(410) 583-2782
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002333
MD
Other
Enumeration date
03/22/2006
Last updated
04/05/2018
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