person
Tucker Boone Johnson, PA-C
Surgical Physician Assistant in Edina, Minnesota
NPI 1598267676

Tucker Boone Johnson is a Surgical Physician Assistant based in Edina, MN and is specialized in Surgical. Tucker Boone Johnson practices in Edina, MN and has the professional credentials of PA-C. The NPI Number for Tucker Boone Johnson is 1598267676 and holds a License No. (Minnesota).

The current practice location address for Tucker Boone Johnson is 6525 France Ave S Ste 200, Edina, MN and can be reached out via phone at 952-927-6501 and via fax at 952-653-1433.

Location: 6525 France Ave S Ste 200, Edina, MN, 55435-2176
person
Provider Profile Details
NPI Number
1598267676
Provider Name
Tucker Boone Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
6525 France Ave S Ste 200, Edina, MN, 55435-2176
Phone Number
952-927-6501
Fax Number
952-653-1433
Provider Enumeration Date
03/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6525 France Ave S Ste 200
City
State
Zip
55435-2176
Phone Number
952-927-6501
Fax Number
952-653-1433
person
Provider Business Mailing Address Details
Address
6525 France Ave S Ste 200
City
State
Zip
55435-2176
Phone Number
952-927-6501
Fax Number
952-653-1433
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
12064896-1206 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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