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Amanda Irene Johnson, DPM
Foot & Ankle Surgery Podiatrist in Grove City, Pennsylvania
NPI 1285123828

Amanda Irene Johnson is a Foot & Ankle Surgery Podiatrist based in Pittsburgh, PA and is specialized in Foot & Ankle Surgery. Amanda Irene Johnson practices in Grove City, PA and has the professional credentials of DPM. The NPI Number for Amanda Irene Johnson is 1285123828 and holds a License No. (Pennsylvania).

The current practice location address for Amanda Irene Johnson is 647 N Broad Street Ext Ste 204, Grove City, PA and can be reached out via phone at 724-458-6245 and via fax at 724-458-6244.

Location: 647 N Broad Street Ext Ste 204, Grove City, PA, 15242-0008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285123828
Provider Name
Amanda Irene Johnson
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
647 N Broad Street Ext Ste 204, Grove City, PA, 15242-0008
Phone Number
724-458-6245
Fax Number
724-458-6244
Provider Enumeration Date
05/09/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
647 N Broad Street Ext Ste 204
City
Grove City
State
Pennsylvania
Zip
16127-4604
Phone Number
724-458-6245
Fax Number
724-458-6244
person
Provider Business Mailing Address Details
Address
647 N Broad Street Ext Ste 204
City
Grove City
State
Pennsylvania
Zip
16127-4604
Phone Number
724-458-6245
Fax Number
724-458-6244
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
SC007161 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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