Bradley L Johnson, MD

NPI #1962463935 in Rockford, Illinois

Provider Information

NPI Number: 1962463935
Entity Type: Individual
Name: Bradley L Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Mar 30, 2006
Last Updated: Feb 5, 2020

Practice Location

Address: 5875 E RIVERSIDE BLVD
City: Rockford
State: Illinois
ZIP Code: 61114-4937
Phone: (815) 398-9491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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