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Individual

MR. DAVID L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
673 MDG, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-1815
Mailing address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-9658

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9245841
FL

Other

Enumeration date
01/30/2006
Last updated
05/31/2022
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