RUSSELL A JOHANSON

PALMER, AK
NPI1902190051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AK  MEDS7975)
Enumeration Date2011-06-07
Last Update Date2017-11-21
Business Address
RUSSELL A JOHANSON M.D.
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone number: 907-861-6000
Mailing Address
RUSSELL A JOHANSON M.D.
PO BOX 718
PALMER, AK 99645-0718
Phone number: 907-746-7511
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