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1902190051
RUSSELL A JOHANSON
PALMER, AK
NPI
1902190051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AK MEDS7975)
Enumeration Date
2011-06-07
Last Update Date
2017-11-21
Business Address
RUSSELL A JOHANSON M.D.
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone number: 907-861-6000
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Mailing Address
RUSSELL A JOHANSON M.D.
PO BOX 718
PALMER, AK 99645-0718
Phone number: 907-746-7511
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