BRETT JOHANSEN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1982074696
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA-1308 (ID) |
Frequently Asked Questions
NPI 1982074696 is the National Provider Identifier for BRETT JOHANSEN, PA-C, a Physician Assistant - Medical provider located in Fruitland, ID. This NPI was enumerated on October 7, 2015.
BRETT JOHANSEN, PA-C practices at 1210 NW 16TH ST, Fruitland, ID 83619.
Quick Facts
- NPI
- 1982074696
- Type
- Individual
- Enumerated
- Oct 7, 2015
- Last Updated
- Oct 7, 2015
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