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Individual
BRIAN JOHNSON
Active
Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
RL13263
ND
2086S0102X
Surgical Critical Care Physician
Primary
15900
ND
Other
Enumeration date
06/06/2014
Last updated
04/18/2025
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