Individual
DR. MICHEAL B. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(317) 614-9804
Mailing address
3650 PIPER STREET, STE A, ANCHORAGE, AK 99508
(907) 339-9455
(907) 339-9445
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20A9408
CA
2085R0202X
Diagnostic Radiology Physician
C2-0006432
DE
2085R0202X
Diagnostic Radiology Physician
Primary
O-0402
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807836500
—
ID
Enumeration date
09/09/2005
Last updated
12/28/2022
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