NPI 1124090949

Charles E Johnson, PAC

Practitioner Physician Assistant Pahrump, NV

Practice location

Address: 1501 E Calvada Blvd, Pahrump, NV 89048-5807
Phone: (775) 727-5509
Fax: (775) 727-5696
Mailing address: PO Box 98978, Las Vegas, NV 89193-8978

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-C0149 (NV)

Other Physician Assistant providers in Nevada →

Registry record

NPI: 1124090949
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2006
Record last updated: 25 Jan 2012

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.