Individual
DR. JEFFREY PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9099
SD
Other
Enumeration date
07/05/2006
Last updated
04/09/2014
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