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Individual

DR. SHAWN JOHNSTON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3801 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4639
(907) 563-8876
(907) 762-6315
Mailing address
4100 LAKE OTIS PKWY, STE 216, ANCHORAGE, AK 99508-5230
(907) 563-2873
(907) 563-5852

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4332
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD9202
AK
Enumeration date
01/26/2006
Last updated
06/15/2021
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