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DONALD RUSSELL JOHNSON MD PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD RUSSELL JOHNSON MD (OWNER)
(360) 588-1480
Entity
Organization

Contact information

Practice address
209 MOLLER AVE, SITKA, AK 99835-7142
(907) 747-3241
Mailing address
PO BOX 50150, BELLEVUE, WA 98015-0150
(425) 228-5228
(425) 228-5733

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/17/2011
Last updated
06/08/2011
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