person
Ray Johnson, PA-C
Surgical Physician Assistant in Casper, Wyoming
NPI 1831185933

Ray Johnson is a Surgical Physician Assistant based in Casper, WY and is specialized in Surgical. Ray Johnson practices in Casper, WY and has the professional credentials of PA-C. The NPI Number for Ray Johnson is 1831185933 and holds a License No. 49 (Wyoming).

The current practice location address for Ray Johnson is 419 S Washington St, Casper, WY and can be reached out via phone at 307-577-4220 and via fax at 307-235-0931.

Location: 419 S Washington St, Casper, WY, 82601-2951
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Provider Profile Details
NPI Number
1831185933
Provider Name
Ray Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
419 S Washington St, Casper, WY, 82601-2951
Phone Number
307-577-4220
Fax Number
307-235-0931
Provider Enumeration Date
09/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307174 01 WY BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
419 S Washington St
City
State
Zip
82601-2951
Phone Number
307-577-4220
Fax Number
307-235-0931
person
Provider Business Mailing Address Details
Address
419 S Washington St
City
State
Zip
82601-2951
Phone Number
307-577-4220
Fax Number
307-235-0931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
49 (Wyoming)
Definition
Definition to come...
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