LOGAN JOHNSON

DISPATCHHEALTH NV WAGNER PC

Dr LOGAN JOHNSON is a male medical professional, specializing in Physician Assistant. He graduated in 2014.

Contact

DISPATCHHEALTH NV WAGNER PC

3841 W CHARLESTON BLVD
SUITE 203
LAS VEGAS
NV
891021858

Tel: 7028484443

LOGAN JOHNSON Information

Npi 1497141527
Pac Id 7315251923
Professional Enrollment Id I20150727001668
Last Name JOHNSON
First Name LOGAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DISPATCHHEALTH NV WAGNER PC
Group Practice Pac Id 5193090298
Number Of Group Practice Members 20
Line 1 Street Address 3841 W CHARLESTON BLVD
Line 2 Street Address SUITE 203
Marker Of Address Line 2 Suppression
City LAS VEGAS
State NV
Zip Code 891021858
Phone Number 7028484443
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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