Individual
MS. AMANDA KRISTEN JOHNSON-WO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
903 N 2ND ST, PHOENIX, AZ 85004-1906
(602) 416-7600
Mailing address
903 N 2ND ST, PHOENIX, AZ 85004-1906
(602) 416-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5924
AZ
Other
Enumeration date
11/04/2014
Last updated
12/10/2014
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