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NPI Profile for JOSHUA R JOHNSON in BRADLEY, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1376840421 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 02/24/2011 | |
| Last updated | 02/24/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JOSHUA R JOHNSON
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JOSHUA R JOHNSON, PA