Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY DEAN JOHNSON, PA
ActiveLARRY DEAN JOHNSON, PA is a Physician Assistant healthcare provider located in BRANSON, Missouri. NPI 1205970365 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BRANSON, MO
Registration Details
- NPI Number
- 1205970365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2007 (19.45899024991 yrs)
- Last Updated
- May 26, 2021
- Licenses
-
PA-263 (AR)2018044339 (MO)
Practice Information
- Address
-
525 BRANSON LANDING BLVDBRANSON, MO, 656162052Browse MO providers · Browse ZIP 65616
- Phone
- 4173488646
- Fax
- 4173357529
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BRANSON, MO
| Name | Credential | NPI |
|---|---|---|
| MR. DREW A GARCIA | PA | 1427045780 |
| TERA L BEAIRD | PA-C | 1841261195 |
| MR. STEVEN T BURDINE | PA | 1689693392 |
| RYAN C POCK | PA | 1992810485 |
| ROBIN D THURMAN | PA-C | 1396842605 |
| RYAN D TOLIVER | PA-C | 1275627606 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.