Individual
MR. RANDY J. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9321
Mailing address
2305 GARRETT RD, ROCKWOOD, PA 15557-5834
(814) 926-2017
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN342781-L
PA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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