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1790781896
BRIAN L. JOHNSON
JEFFERSON CITY, MO
NPI
1790781896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: MO 108712)
Enumeration Date
2005-06-23
Last Update Date
2014-12-23
Business Address
Dr. BRIAN L. JOHNSON M.D.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
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Mailing Address
Dr. BRIAN L. JOHNSON M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264
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