Brett Johnson D.O.

NPI 1265876171 - General Practice - 208D00000X

NPI Details
NPI 1265876171
Gender Male
Enumeration Date 04/22/2013
Last Updated 03/10/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
77 E FRY BLVD
SIERRA VISTA AZ, 85635-1813, US
Phone (520) 459-8915
Fax
Business Location
77 E FRY BLVD
SIERRA VISTA AZ, 85635-1813, US
Phone (520) 459-8915
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Arizona
License Number 006547
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According to our database, Brett Johnson D.O. NPI is 1265876171, taxonomy code is 208D00000X and license number is 006547, license state is located at Arizona. Brett Johnson D.O. physically located at 77 E Fry Blvd, Sierra Vista AZ, 85635-1813. NPI Number Brett Johnson D.O. has the Individual type.

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1265876171 NPI number is provided on an as is basis without warranty of any kind. 1265876171 is maintained by the National Plan & Provider Enumeration System. The contents of Brett Johnson D.O. are for informational purposes only.