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1487640447
BRENT E JOHNSON
PRESCOTT, AZ
NPI
1487640447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 20366)
Enumeration Date
2005-09-26
Last Update Date
2011-07-25
Business Address
-- BRENT E JOHNSON M.D.
1000 AINSWORTH DR SUITE 115
PRESCOTT, AZ 86305-1667
Phone number: 928-778-1971
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Mailing Address
-- BRENT E JOHNSON M.D.
1000 AINSWORTH DR SUITE 115
PRESCOTT, AZ 86305-1667
Phone number: 928-778-1971
Copy
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