STEPHANIE DIANE JOHNSON

LUTHERVILLE, MD
NPI1285693770
Former NameSTEPHANIE DIANE STAPLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MD  C0002333)
Enumeration Date2006-03-22
Last Update Date2018-04-05
Business Address
Ms. STEPHANIE DIANE JOHNSON Physician Assistant
10755 FALLS RD SUITE 160
LUTHERVILLE, MD 21093-4515
Phone number: 410-583-2777
Mailing Address
Ms. STEPHANIE DIANE JOHNSON Physician Assistant
5000 COX RD
GLEN ALLEN, VA 23060-9263
Phone number: 804-968-5700