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Individual

ANDREW JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Mailing address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9692041-1205
UT

Other

Enumeration date
05/14/2013
Last updated
10/03/2018
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