Individual
PATRICIA A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
96 CAMPUS DR, SCARBOROUGH, ME 04074-7133
(207) 396-5611
(207) 396-5601
Mailing address
5 MEDINAH CIR, FALMOUTH, ME 04105-1138
(207) 885-9905
(207) 396-5601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA683
ME
Other
Enumeration date
05/04/2006
Last updated
04/03/2012
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