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NPI Code Detail

MEDICARE: VIRLANA JOHNSON-SILVA P.A.-C.

MEDICARE:   VIRLANA  JOHNSON-SILVA  P.A.-C.
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
1363AS0400XSurgical Physician Assistant2464AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2970019070OTHERAZRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
186080015085259A677OTHERAZTRIWEST
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952384513
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRLANA JOHNSON-SILVA P.A.-C.
Provider Business Mailing Address
First Line : 20896 N 88TH LN
Second Line :
City : PEORIA
State : AZ
Zip : 85382
Country : US
Telephone Number : 480-272-2217
Fax Number :
Provider Business Practice Location Address
First Line : 21045 N 9TH PL
Second Line : SUITE 205
City : PHOENIX
State : AZ
Zip : 85024-5634
Country : US
Telephone Number : 866-465-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 01/19/2016

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Directions to “ VIRLANA JOHNSON-SILVA P.A.-C.” Practice Location

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