| Pierre M. Johnson, Md Pc | |
|
2555 Phillips Field Rd Fairbanks AK 99709-3933 | |
| (907) 328-2920 | |
| (907) 456-2914 |
| Full Name | Pierre M. Johnson, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2555 Phillips Field Rd, Fairbanks, Alaska |
| Authorized Official Name and Position | Pierre Mcelroy Johnson (PHYSICIAN) |
| Authorized Official Contact | 9073282910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierre M. Johnson, Md Pc 2555 Phillips Field Rd Fairbanks AK 99709-3933 Ph: (907) 328-2920 | Pierre M. Johnson, Md Pc 2555 Phillips Field Rd Fairbanks AK 99709-3933 Ph: (907) 328-2920 |
| NPI Number | 1417133323 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 09/16/2015 |
| Medicare PECOS PAC ID | 0941382832 |
|---|---|
| Medicare Enrollment ID | O20080131000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417133323 | NPI | - | NPPES |
| 1447353743 | Other | AK | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 6017 (Alaska) | Primary |
| Provider Name | Pierre M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447353743 PECOS PAC ID: 9830271808 Enrollment ID: I20080129000769 |
| Provider Name | Karolina Priebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366829699 PECOS PAC ID: 2062726508 Enrollment ID: I20150728006538 |
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