Individual
MR. DAVID MICHAEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501881
KS
Other
Enumeration date
08/18/2011
Last updated
04/26/2016
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