MR. Timothy Bart Johnson, CRNA
NPI #1588764583 in Broken Bow, Nebraska
Provider Information
- NPI Number
- 1588764583
- Entity Type
- Individual
- Name
- MR. Timothy Bart Johnson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 79568 SUMNER ROAD
- City
- Broken Bow
- State
- Nebraska
- ZIP Code
- 68822
- Phone
- (308) 872-2294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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Organizations
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|---|---|
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