Gary M Johnson is a Physician Assistant in Reno, Nevada. Gary M Johnson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary M Johnson is 1700971116. The last update date is 2015-03-25.
Gary M Johnson's current location address is 680 S Rock Blvd, Reno, Nevada. You can contact this provider via phone number 7753296300 and fax number 7753233136. The mailing address for Gary M Johnson is 680 S Rock Blvd, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Johnson |
|---|---|
| Address | 680 S Rock Blvd, Reno, Nevada |
| Phone Number | 7753296300 |
| Fax Number | 7753233136 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700971116 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2015-03-25 |
Provider Mailing Address Detail
| Address | 680 S Rock Blvd |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895024113 |
| Phone Number | 7753296300 |
| Fax Number | 7753233136 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA946 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3116008 | NV | -- | |
| 1516008 | NV | -- |
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What is the unique identification code assigned to Gary M Johnson by the Centers for Medicare & Medicaid Services?
The Gary M Johnson has been issued the NPI (National Provider Identifier) 1700971116. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gary M Johnson is located?
The Gary M Johnson is situated at the following address: 680 S Rock Blvd, Reno, NV, 895024113.
What is the Gary M Johnson's area of specialization and corresponding taxonomy classification?
The Gary M Johnson's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gary M Johnson receive the assignment of its 1700971116 from the Centers for Medicare & Medicaid Services?
The Gary M Johnson was issued its 1700971116 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the Gary M Johnson's details last updated?
The information pertaining to the Gary M Johnson, including its address, specialty, and other details, was most recently updated on 2015-03-25.
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