Individual
MEREDITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
72 E CONCORD ST, BOSTON, MA 02118-2642
(707) 236-2397
Mailing address
3835 ALTA VISTA AVE, SANTA ROSA, CA 95409-4052
(707) 236-2397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
01/03/2022
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