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NPI Code Detail

MEDICARE: MR. STEPHEN J JOHNSON COMMUNITY PARAMEDIC

MEDICARE: MR. STEPHEN J JOHNSON COMMUNITY PARAMEDIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146L00000XParamedic56736NV

General Provider Information

NPI Number : 1205311511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN J JOHNSON COMMUNITY PARAMEDIC
Provider Business Mailing Address
First Line : 9 W DELHI AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7836
Country : US
Telephone Number : 702-224-5066
Fax Number :
Provider Business Practice Location Address
First Line : 9 W DELHI AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7836
Country : US
Telephone Number : 702-224-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 10/02/2018

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Directions to “ MR. STEPHEN J JOHNSON COMMUNITY PARAMEDIC” Practice Location

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