Individual
HEATHER ANN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, FT. LEWIS, WA 98431
(253) 968-0770
Mailing address
1872 PALISADE BLVD, DUPONT, WA 98327-9718
(253) 964-2158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001557
VA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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