NPI 1235552621
Shorty Johansson, MD
Practice location
- Address
- 374th Medical Group Unit 5071, Apo, AP 96328-5071
- Phone
- (315) 225-8864
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1235552621
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jan 2014
- Record last updated
- 24 Jun 2026
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.