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Individual

JARED RICHARD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1784 BROWNING WAY STE 120, ELKO, NV 89801-8331
(775) 738-2555
Mailing address
612 ABARR DR, SPRING CREEK, NV 89815-7344
(775) 385-8666

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0343
NV

Other

Enumeration date
06/16/2015
Last updated
03/01/2023
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