Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENJAMIN DOUGLAS JOHNSON, PA-C, R.T. (R)
ActiveMR. BENJAMIN DOUGLAS JOHNSON, PA-C, R.T. (R) is a 243U00000X healthcare provider located in FAIRBANKS, Alaska. NPI 1821516345 is currently active in the NPPES registry. Verify at CMS.
243U00000X · FAIRBANKS, AK
Registration Details
- NPI Number
- 1821516345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2017 (8.9839334763705 yrs)
- Last Updated
- Oct 21, 2022
- Licenses
-
138210 (AK)1760938021 (AK)138210 (AK)138210 (AK)
Practice Information
- Address
-
1650 COWLES STFAIRBANKS, AK, 997015907Browse AK providers · Browse ZIP 99701
- Phone
- 9074583900
- Primary Specialty
-
243U00000X
243U00000X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- 2085R0203X
- Additional Specialty
- 243U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.