NPI 1023171071

Jay D. Johnson, DO

Practitioner Pediatric Adolescent Medicine Physician Anchorage, AK

Practice location

Address: 3801 Lake Otis Pkwy STE 200, Anchorage, AK 99508-5234
Phone: (907) 212-6900

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 4028 (OK)

Other Pediatrics providers in Alaska →

Registry record

NPI: 1023171071
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2006
Record last updated: 4 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.