IndividualActive
Austin Johnson, PA-C
NPI 1568089787 · Physician Assistant · Show Low, AZ
Provider details
- NPI number
- 1568089787
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone: (855) 768-4968
Approximate (ZIP-level) locationGet directions
Mailing address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Additional practice locations (1)
- 9681 N 82nd LnPeoria, AZ 85345-3101Phone: (928) 814-2946
Registry dates
- Enumerated
- 2020-07-03
- Last updated
- 2020-09-22
- Certified
- 2020-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.