Individual
BRIAN JAHNNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0649
(928) 681-8638
Mailing address
3269 STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-0649
(928) 681-8638
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007067
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
03/21/2019
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