Individual
SAMANTHA D JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3068 INNOVATION WAY, HERMITAGE, PA 16148-7906
(724) 981-1219
Mailing address
3068 INNOVATION WAY, HERMITAGE, PA 16148-7906
(724) 981-1219
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055177
PA
Other
Enumeration date
10/05/2011
Last updated
02/14/2018
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