Individual
RONALD M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWKINS DR, DEPT OF ANESTHESIA, IOWA CITY, IA 52242-1009
(319) 467-5030
(319) 356-2940
Mailing address
200 HAWKINS DR, DEPT OF ANESTHESIA, IOWA CITY, IA 52242-1009
(319) 467-5030
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
092554
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124784
—
IA
01
—
22761
BLUE CROSS OF IA
IA
Enumeration date
08/04/2006
Last updated
01/11/2022
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