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Organization

DANIEL R JOHNSON, D.O.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL R JOHNSON D.O. (OWNER)
(907) 456-3338
Entity
Organization

Contact information

Practice address
3745 GEIST RD, FAIRBANKS, AK 99709-3548
(907) 456-3338
(907) 456-3443
Mailing address
315 ILLINOIS ST, FAIRBANKS, AK 99701-2910
(907) 456-7767
(907) 456-8050

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
10/06/2010
Last updated
10/06/2010
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