Whalio Doctors

NPI 1821516345

Benjamin Douglas Johnson, PACRTR

Practitioner Radiology Practitioner Assistant Fairbanks, AK

Practice location

Address
1650 Cowles St, Fairbanks, AK 99701-5907
Phone
(907) 458-3900
Mailing address
4311 11th Ave NE STE 200, Seattle, WA 98105-6367

Registered specialties (4)

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 138210 (AK)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 138210 (AK)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 1760938021 (AK)
Therapeutic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0203X Licence 138210 (AK)

Registry record

NPI
1821516345
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Sep 2017
Record last updated
21 Oct 2022

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.