GORDON MACK JOHNSON

MEDSTREAM ANESTHESIA PLLC

Dr GORDON MACK JOHNSON is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2013.

Contact

MEDSTREAM ANESTHESIA PLLC

1500 SW 1ST AVE
OCALA
FL
344716504

Tel: 8283985244

GORDON MACK JOHNSON Information

Npi 1528406444
Pac Id 8325289465
Professional Enrollment Id I20130801000161
Last Name JOHNSON
First Name GORDON
Middle Name MACK
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEDSTREAM ANESTHESIA PLLC
Group Practice Pac Id 7416198049
Number Of Group Practice Members 507
Line 1 Street Address 1500 SW 1ST AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OCALA
State FL
Zip Code 344716504
Phone Number 8283985244
Hospital Affiliation Ccn 1 100062
Hospital Affiliation Lbn 1 MUNROE REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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