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NPI Profile for RUSSELL P JOHNSON in LAS VEGAS, NV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI Number | 1497712483 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 04/26/2006 | |
| Last updated | 11/27/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RUSSELL P JOHNSON
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RUSSELL P JOHNSON, PA-C