| NPI | 1407105547 |
|---|---|
| Professional Name | ANTHONY WILLIAM JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 366543-1206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA158656) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-02-13 |