Bradley Todd Johnson

NPI #1710167655 in Durango, Colorado

Provider Information

NPI Number: 1710167655
Entity Type: Individual
Name: Bradley Todd Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 8, 2007
Last Updated: Nov 3, 2020

Practice Location

Address: 1010 THREE SPRINGS BLVD
City: Durango
State: Colorado
ZIP Code: 81301-8296
Phone: (303) 306-7783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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