Individual
DR. BRET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12501 PROSPERITY DRIVE, SUITE 100, SILVER SPRING, MD 20904-1647
(301) 681-6730
Mailing address
12501 PROSPERITY DRIVE, SUITE 100, SILVER SPRING, MD 20904-1647
(301) 681-6730
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H96714
MD
2080A0000X
Pediatric Adolescent Medicine Physician
H96714
MD
Other
Enumeration date
03/29/2019
Last updated
10/24/2024
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