Mr Rickie E Johnson, PA | |
7238 6th St Bldg 249, Hill Air Force Base, UT 84056-5213 | |
(801) 777-1155 | |
(801) 775-6884 |
Full Name | Mr Rickie E Johnson |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 7238 6th St Bldg 249, Hill Air Force Base, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982681292 | NPI | - | NPPES |
1627755 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | A10226 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Rickie E Johnson, PA 500 Broadway Apt C214, Farmington, UT 84025-5657 Ph: (337) 278-8826 | Mr Rickie E Johnson, PA 7238 6th St Bldg 249, Hill Air Force Base, UT 84056-5213 Ph: (801) 777-1155 |
Gary Heaston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7238 6th St, Jensen Occupational Medicine Center, Bldg. 249, Hill Air Force Base, UT 84056 Phone: 801-777-1157 |