Individual
JOHNATHAN A PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
WEST PERIMETER RD BLDG 1050, MALCOLM GROW MEDICAL CENTER, ANDREWS AFB, MD 20762
(240) 857-8529
Mailing address
2709 BISMARK ST, WALDORF, MD 20603-3820
(240) 691-6687
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/27/2009
Last updated
04/30/2009
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