Organization
AARON JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON PATRICK JOHNSON MD (PRESIDENT/CEO)
(907) 727-9393
Entity
Organization
Contact information
Practice address
3200 PROVIDENCE DR, PROVIDENCE ALASKA MED CTR., ANCHORAGE, AK 99508-4615
(907) 261-3650
Mailing address
2440 E TUDOR RD, #175, ANCHORAGE, AK 99507-1185
(907) 727-9393
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
5036
AK
2084N0600X
Clinical Neurophysiology Physician
5036
AK
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
5036
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD50361
—
AK
Enumeration date
08/17/2007
Last updated
11/01/2007
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