Individual
MISS BRIDGET ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3875 GEIST RD, SUITE E381, FAIRBANKS, AK 99709-3549
(907) 458-6943
Mailing address
512 WINDSOR DR, FAIRBANKS, AK 99709-3439
(414) 405-2957
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/25/2020
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