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Individual

BRETT C JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3383
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-3383

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A13693
CA
207Q00000X
Family Medicine Physician
Primary
O-0729
ID

Other

Enumeration date
05/27/2010
Last updated
10/25/2016
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