IndividualActive
Mary Johnston, DO
NPI 1649618059 · Neuromusculoskeletal Medicine & OMM Physician · Fairbanks, AK
Provider details
- NPI number
- 1649618059
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 111064 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1919 Lathrop St
Fairbanks, AK 99701-5937
Phone: (907) 458-2619
Fax: (907) 374-1089
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 73720
Fairbanks, AK 99707-3720
Registry dates
- Enumerated
- 2013-06-07
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.