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Individual
ALAN K JOHNSON
Active
Individual
ALAN K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12685
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080069705
MEDICARE RAILROAD
—
01
—
12685
STATE LICENSE
NE
01
—
283821A
RURAL HEALTH
—
Enumeration date
08/01/2006
Last updated
10/26/2007
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