Individual provider · Type 1 NPI

Brent E. Johnson, MD

Specialist · Prescott, AZ

NPI number 1487640447 Active

Practice location

1000 Ainsworth Dr, Suite 115
Prescott, AZ 86305-1667

Call (928) 778-1971 Map

Fax (928) 443-8473

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X20366 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487640447

Brent E. Johnson, MD's National Provider Identifier is 1487640447, issued on Sep 26, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 25, 2011.