Individual
MRS. SUSAN MCCAMBLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4100 LAKE OTIS PKWY, STE. 322, ANCHORAGE, AK 99508-5222
(907) 562-1234
(907) 561-8550
Mailing address
2750 GREENSCREEK CIR, ANCHORAGE, AK 99516
(907) 522-0167
(907) 646-2573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
531
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531
STATELIC
AK
Enumeration date
12/19/2006
Last updated
03/07/2023
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