Individual
DANIEL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3745 GEIST ROAD, FAIRBANKS, AK 99709-3554
(907) 456-3338
Mailing address
315 ILLINOIS STREET, FAIRBANKS, AK 99701-2910
(907) 456-7767
(907) 456-8050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5762
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD6531
—
AK
05
—
MD65311
—
AK
Enumeration date
07/03/2006
Last updated
03/07/2023
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