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Individual

DR. BRANDON TERON JOHNSON

Active
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Individual

DR. BRANDON TERON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
207Y00000X
Otolaryngology Physician
04-40523
KS
207Y00000X
Otolaryngology Physician
Primary
2017043658
MO

Other

Enumeration date
04/23/2012
Last updated
10/08/2024
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