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Organization

BRIAN T. JOHNSON, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN T JOHNSON MD (PRESIDENT)
(727) 815-9878
Entity
Organization

Contact information

Practice address
5341 GRAND BLVD STE 102, NEW PORT RICHEY, FL 34652-4011
(727) 815-9878
(727) 848-7967
Mailing address
5341 GRAND BLVD STE 102, NEW PORT RICHEY, FL 34652-4011
(727) 815-9878
(727) 848-7967

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
03/28/2007
Last updated
05/01/2008
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