Brett M Johnson, PA-C
NPI #1003344789 in Deadwood, South Dakota
Provider Information
- NPI Number
- 1003344789
- Entity Type
- Individual
- Name
- Brett M Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 25, 2017
- Last Updated
- May 25, 2017
Practice Location
- Address
- 61 CHARLES ST
- City
- Deadwood
- State
- South Dakota
- ZIP Code
- 57732-1303
- Phone
- (605) 717-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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