Individual
BRADLEY PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 10TH ST SE, CEDAR RAPIDS, IA 52403-2450
(319) 364-7730
Mailing address
3313 LOETHEN LN, CORALVILLE, IA 52241-2626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A182703
IA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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