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Individual

RONALD M JOHNSON

Active
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Individual

RONALD M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

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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