1386981355

Everything you always wanted to know about JOHANSON ALEXANDER PA-C but were afraid to ask.

JOHANSON ALEXANDER PA-C

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Provider Last Name Provider First Name Provider Credential
JOHANSON ALEXANDER PA-C
Gender:
Male
Enumeration date:
2013-01-11
Last update date:
2013-01-11
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
363A00000X Physician Assistant MP 080

Phone Numbers

Type Number
Mailing Address Telephone Number 6709891026
Practice Location Address Telephone Number 6709891026

Addresses

Type Address City State Postal Country
Mailing Address 28 EAST MARGINAL WAY BRUNSWICK ME 4011 ME
Practice Location Address 1 NAVY HILL ROAD SAIPAN MP 96950 MP

Other NPI Records that share an address

NPI Name Address State City
1780711978 BRAIG, FLORIAN
Individual
1 NAVY HILL ROAD MP SAIPAN