person
Samantha Johnston, PA-C
Medical Physician Assistant in Cottonwood, Arizona
NPI 1336514645

Samantha Johnston is a Medical Physician Assistant based in Prescott, AZ and is specialized in Medical. Samantha Johnston practices in Cottonwood, AZ and has the professional credentials of PA-C. The NPI Number for Samantha Johnston is 1336514645 and holds a License No. 6297 (Arizona).

The current practice location address for Samantha Johnston is 51 S Brian Mickelsen Pkwy, Cottonwood, AZ and can be reached out via phone at 928-639-8132 and via fax at 866-279-8919. You can also correspond with Samantha Johnston through the mailing address at 1090 COMMERCE DR, PRESCOTT, AZ - 86305-3700 (mailing address contact number: 928-583-1000).

Location: 51 S Brian Mickelsen Pkwy, Cottonwood, AZ, 86305-3700
person
Provider Profile Details
NPI Number
1336514645
Provider Name
Samantha Johnston
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
51 S Brian Mickelsen Pkwy, Cottonwood, AZ, 86305-3700
Phone Number
928-639-8132
Fax Number
866-279-8919
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090822 05 AZ
institution
Provider Business Practice Location Address Details
Address
51 S Brian Mickelsen Pkwy
City
State
Zip
86326-3610
Phone Number
928-639-8132
Fax Number
866-279-8919
person
Provider Business Mailing Address Details
Address
1090 Commerce Dr
City
State
Zip
86305-3700
Phone Number
928-583-1000
Fax Number
866-323-8458
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
6297 (Arizona)
Definition
Definition to come...
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