Individual
DR. TERESA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4136 BARTLETT ST, HOMER, AK 99603-7001
(907) 235-8586
(907) 235-6639
Mailing address
4136 BARTLETT ST, HOMER, AK 99603-7001
(907) 235-8586
(907) 235-6639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21456
KS
207Q00000X
Family Medicine Physician
Primary
MEDS8281
AK
Other
Enumeration date
06/16/2005
Last updated
10/17/2018
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