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1134116684
BRADLEY W JOHNSON
DAVENPORT, IA
NPI
1134116684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 4136)
Enumeration Date
2005-09-30
Last Update Date
2021-04-20
Business Address
Dr. BRADLEY W JOHNSON D.O
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1844
Phone number: 563-421-4400
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Mailing Address
Dr. BRADLEY W JOHNSON D.O
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804-1844
Phone number: 563-421-4400
Copy
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