# DANIEL R JOHNSON, D.O.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235448309
- **Authorized official:** DANIEL R JOHNSON D.O. (OWNER)
- **Authorized official phone:** (907) 456-3338

## Contact information

- **Practice address:** 3745 GEIST RD, FAIRBANKS, AK 99709-3548
- **Practice address phone:** (907) 456-3338
- **Practice address fax:** (907) 456-3443
- **Mailing address:** 315 ILLINOIS ST, FAIRBANKS, AK 99701-2910
- **Mailing address phone:** (907) 456-7767
- **Mailing address fax:** (907) 456-8050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2010
- **Last updated:** 10/06/2010