| Latasha J Johnson, PA-C | |
|
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
| (937) 257-9612 | |
| Not Available |
| Full Name | Latasha J Johnson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326463639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 51405 (California) | Primary |
| 207Q00000X | Family Medicine | 51405 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Latasha J Johnson, PA-C 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9612 | Latasha J Johnson, PA-C 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9612 |
Mr. Clifford Neill Otte, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433 Phone: 937-255-7119 |
Calvin Williams, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433 Phone: 937-257-0837 |
Mr. Thomas Vaughn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 210-455-9000 Fax: 937-656-3700 |
Dr. Griffin Holauchock, DSC. PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-257-9416 |
Joel T Harris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-904-0286 |
David Paul Supinski Jr., P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr., Er/sgoe, Wright Patterson Afb, OH 45433 Phone: 937-257-0770 |
Keith Janda, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 257-656-3960 |