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Individual
BRIAN D JOHNSON
Active
Individual
BRIAN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209009443
IL
207P00000X
Emergency Medicine Physician
A151173
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
209009443
IL
Other
Enumeration date
03/16/2012
Last updated
10/20/2018
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