| Mr David L Johnson, CRNA | |
| 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | |
| (907) 580-1815 | |
| Not Available | 
| Full Name | Mr David L Johnson | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 673 Mdg, Jber, Alaska | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346211166 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9245841 (Florida) | Primary | 
| Entity Name | University Of Alabama At Birmingham | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184738478 PECOS PAC ID: 3779487970 Enrollment ID: O20031120000323 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr David L Johnson, CRNA 340 Boatner Rd, Eglin Afb, FL 32542-1391 Ph: (850) 883-9658 | Mr David L Johnson, CRNA 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-1815 | 
| Christopher Cowley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673 Mdg, Jber, AK 99506 Phone: 907-580-1815 | |
| Daniel Thomas Perez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1825 | |
| Carolyn N Lee, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Phone: 907-580-1815 | |
| Dr. Thomas Guy Fevurly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5955 Zeamer Ave, 673d Mdg / Sgcs / Sgcj, Jber, AK 99506 Phone: 907-580-1815 Fax: 907-580-5524 | |
| Teresa R Sellers,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, 673 Mdg, Jber, AK 99506 Phone: 907-580-1815 | |
| Emily Roark, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1825 |