Jason Bradford Johnson, CO

NPI #1346732286 in Winston Salem, North Carolina

Provider Information

NPI Number: 1346732286
Entity Type: Individual
Name: Jason Bradford Johnson, CO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Jun 6, 2018
Last Updated: Jun 6, 2018

Practice Location

Address: 1399 WESTGATE CENTER DR
City: Winston Salem
State: North Carolina
ZIP Code: 27103-2934
Phone: (336) 768-1933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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