IndividualActive
Benjamin Johnson, PA-C, R.T. (R)
NPI 1821516345 · Radiology Practitioner Assistant · Fairbanks, AK
Provider details
- NPI number
- 1821516345
- Entity type
- Individual
- Primary specialty
- Radiology Practitioner AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- PA-C, R.T. (R)
- Sex
- Male
- Sole proprietor
- No
- License
- 138210 (AK)
Mailing address
4311 11th Ave Ne Ste 200
Seattle, WA 98105-6367
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2022-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.