Brent E Johnson, M.D.

NPI #1487640447 in Prescott, Arizona

Provider Information

NPI Number: 1487640447
Entity Type: Individual
Name: Brent E Johnson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Sep 26, 2005
Last Updated: Jul 25, 2011

Practice Location

Address: 1000 AINSWORTH DR
Address 2: SUITE 115
City: Prescott
State: Arizona
ZIP Code: 86305-1667
Phone: (928) 778-1971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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