Individual
BRYAN REUBEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 E. CESAR CHAVEZ AVE, SUITE 2500, LOS ANGELES, CA 90033-9003
(323) 328-8059
Mailing address
8350 BARTON AVE NW, BUFFALO, MN 55313-2749
(763) 587-8662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
08/24/2022
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