Organization
PIERRE M. JOHNSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE MCELROY JOHNSON M.D. (PHYSICIAN)
(907) 328-2910
Entity
Organization
Contact information
Practice address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 328-2920
(907) 456-2914
Mailing address
2555 PHILLIPS FIELD RD, FAIRBANKS, AK 99709-3933
(907) 328-2920
(907) 456-2914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6017
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447353743
INDIVIDUAL NPI
AK
Enumeration date
01/10/2008
Last updated
09/16/2015
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