Organization · NPI-2

Aaron Johnson MD PC

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Anchorage, AK

NPI number1194917641
StatusActive
Last updated in NPPESNov 1, 2007

Details

NPI
1194917641
Entity type
Organization (NPI-2)
Legal business name
Aaron Johnson MD PC
Organization subpart
No
Enumeration date
Aug 17, 2007
Last updated
Nov 1, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology5036AKYes
2084N0600X 5036AK
2084S0012X Psychiatry & Neurology, Sleep Medicine5036AK

Practice location

3200 Providence Dr
Providence Alaska Med Ctr.
Anchorage, AK 99508-4615

Phone 907-261-3650

Mailing address

2440 E Tudor Rd
#175
Anchorage, AK 99507-1185

Phone 907-727-9393

Authorized official

Aaron Patrick Johnson
President/Ceo
9077279393

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