Individual
ANGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
(907) 375-3355
Mailing address
4300 B ST STE 200, ANCHORAGE, AK 99503-5933
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
161571
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
03/28/2016
Last updated
11/30/2021
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