M Bruce Johnson M.D.

NPI 1134123813 - Specialist - 174400000X

NPI Details
NPI 1134123813
Gender Male
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
409 N UNIVERSITY AVE
LITTLE ROCK AR, 72205-3108, US
Phone (501) 664-6980
Fax (501) 664-4738
Business Location
409 N UNIVERSITY AVE
LITTLE ROCK AR, 72205-3108, US
Phone (501) 664-6980
Fax (501) 664-4738
Toxanomy
Taxonomy Code 174400000X
License State Arkansas
License Number N7853
Remove 1134123813 NPI Number
 

According to our database, Dr. M Bruce Johnson M.D. NPI is 1134123813, taxonomy code is 174400000X and license number is N7853, license state is located at Arkansas. M Bruce Johnson M.D. physically located at 409 N University Ave, Little Rock AR, 72205-3108. NPI Number M Bruce Johnson M.D. has the Individual type.

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1134123813 NPI number is provided on an as is basis without warranty of any kind. 1134123813 is maintained by the National Plan & Provider Enumeration System. The contents of M Bruce Johnson M.D. are for informational purposes only.