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DANIEL R JOHNSON D.O.
>> Orthopaedic Surgery >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1053341594
Individual Registrant: DANIEL R JOHNSON D.O.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3745 GEIST ROAD FAIRBANKS, AK 99709-3554 US
Tel: 907-456-3338 Fax: --
Tel: 907-456-3338 Fax: --
Contact information for business:
315 ILLINOIS STREET FAIRBANKS, AK 99701-2910 US
Tel: 907-456-7767 Fax: 907-456-8050
Tel: 907-456-7767 Fax: 907-456-8050
Registration Information:
NPI: 1053341594
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207X00000X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | AK | 5762 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DEA | AJ2940953 | AK | 01 |
| MD65311 | AK | 05 | |
| MD6531 | AK | 05 |
