| Miss Nicole Marie Johnson, PA-C | |
|
7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 | |
| (801) 442-5502 | |
| Not Available |
| Full Name | Miss Nicole Marie Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 7302 S Bingham Junction Blvd, Midvale, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033414248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8975784-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nicole Marie Johnson, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 442-5502 | Miss Nicole Marie Johnson, PA-C 7302 S Bingham Junction Blvd, Midvale, UT 84047-4804 Ph: (801) 442-5502 |
David Figueroa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Mr. Mark P Pulver, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047 Phone: 801-313-1010 Fax: 801-747-2116 | |
Mr. Richard L Mittan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 65 E 6850 S, Midvale, UT 84047 Phone: 801-568-6700 | |
Lynn Don Falkner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 S State St, Midvale, UT 84047 Phone: 801-213-9400 | |
Deisy Ramirez Aguilar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 W 7200 S Ste A, Midvale, UT 84047 Phone: 801-566-5494 Fax: 801-561-9647 | |
Mr. Patrick Barde Lang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7495 South. State Street, Midvale, UT 84047 Phone: 801-213-9400 |