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Individual

DONALD E. JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 344-9630
Mailing address
1613 HARRISON PKWY, SUITE #200, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-106784
AL
367500000X
Certified Registered Nurse Anesthetist
R886744
MS

Other

Enumeration date
06/19/2013
Last updated
05/13/2020
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