Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1510 E HERNDON AVE, FRESNO, CA 93720-3303
(559) 450-2663
(559) 450-2724
Mailing address
1303 E HERNDON AVE STE 850, FRESNO, CA 93720-3309
(559) 450-7242
(559) 450-7470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA22250
CA
363A00000X
Physician Assistant
TL1276
SC
363AS0400X
Surgical Physician Assistant
Primary
PA22250
CA
363AS0400X
Surgical Physician Assistant
PA9105317
FL
Other
Enumeration date
12/12/2007
Last updated
02/26/2020
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