NPI 1104101716

Steven Boyd Johnson, PAC

Practitioner Medical Physician Assistant Bentonville, AR

Practice location

Address: 3101 SE 14th St, Bentonville, AR 72712-4900
Phone: (479) 250-1053
Fax: (479) 250-0923
Mailing address: PO Box 775641, Chicago, IL 60677-6084

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA-457 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1104101716
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2011
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.