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Individual

DR. BRANDON TERON JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4880 NE GOODVIEW CIR, LEES SUMMIT, MO 64064-1996
(816) 478-4200
(816) 875-2598
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2597

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
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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