STEPHAN LEE JOHNSON

SAN DIEGO, CA
NPI1568799880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA16986)
Enumeration Date2009-11-06
Last Update Date2011-12-27
Business Address
Mr. STEPHAN LEE JOHNSON PA-C
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Mailing Address
Mr. STEPHAN LEE JOHNSON PA-C
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
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