BRAD RUSSELL JOHNSON

FORT SMITH, AR
NPI1538165295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AR  E-4601)
Additional Taxonomies207ND0101X Dermatology MOHS-Micrographic Surgery
(Licence: AR  E-4601)
207ND0900X Dermatology Dermatopathology
(Licence: AR  E4601)
207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology
(Licence: AR  E-4601)
207NP0225X Dermatology Pediatric Dermatology
(Licence: AR  E-4601)
207NS0135X Dermatology Procedural Dermatology
(Licence: AR  E-4601)
Enumeration Date2005-06-27
Last Update Date2007-07-08
Business Address
DR. BRAD RUSSELL JOHNSON MD
9207 HIGHWAY 71 S SUITE 9
FORT SMITH, AR 72916-9117
Phone number: 479-649-3376
Mailing Address
DR. BRAD RUSSELL JOHNSON MD
9207 HIGHWAY 71 S SUITE 9
FORT SMITH, AR 72916-9117
Phone number: 479-649-3376