JEDIDIAH JOHNSON

MESA, AZ
NPI1689155673
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ  7194)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2018-08-27
Last Update Date2019-01-30
Business Address
JEDIDIAH JOHNSON PA-C
6424 E BROADWAY RD STE 101
MESA, AZ 85206-1750
Phone number: 480-456-9000
Mailing Address
JEDIDIAH JOHNSON PA-C
1201 S ALMA SCHOOL RD STE 14000
MESA, AZ 85210-2096
Phone number: