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Search › Alaska › 104100000X

Tyrell Johnson

NPI 1437776788 · on the registry since 2020

Practice

Address
911 Meals Ave
Valdez, AK 99686
Phone
(907) 835-2838
Organisation at this address
City Of Valdez
City Of Valdez
City Of Valdez
City Of Valdez
City Of Valdez
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska