| Mr Rickie E Johnson, PA | |
|
7238 6th St Bldg 249, Hill Air Force Base, UT 84056-5213 | |
| (801) 777-1155 | |
| (801) 775-6884 |
| Full Name | Mr Rickie E Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7238 6th St Bldg 249, Hill Air Force Base, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982681292 | NPI | - | NPPES |
| 1627755 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A10226 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rickie E Johnson, PA 500 Broadway Apt C214, Farmington, UT 84025-5657 Ph: (337) 278-8826 | Mr Rickie E Johnson, PA 7238 6th St Bldg 249, Hill Air Force Base, UT 84056-5213 Ph: (801) 777-1155 |
Gary Heaston, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7238 6th St, Jensen Occupational Medicine Center, Bldg. 249, Hill Air Force Base, UT 84056 Phone: 801-777-1157 |