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Brent E Johnson, MD
Specialist in Prescott, Arizona
NPI 1487640447

Brent E Johnson is a Specialist based in Prescott, AZ. Brent E Johnson practices in Prescott, AZ and has the professional credentials of MD. The NPI Number for Brent E Johnson is 1487640447 and holds a License No. 20366 (Arizona).

The current practice location address for Brent E Johnson is 1000 Ainsworth Dr, Prescott, AZ and can be reached out via phone at 928-778-1971 and via fax at 928-443-8473.

Location: 1000 Ainsworth Dr, Prescott, AZ, 86305-1667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487640447
Provider Name
Brent E Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Ainsworth Dr, Prescott, AZ, 86305-1667
Phone Number
928-778-1971
Fax Number
928-443-8473
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069709 05 AZ
institution
Provider Business Practice Location Address Details
Address
1000 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86305-1667
Phone Number
928-778-1971
Fax Number
928-443-8473
person
Provider Business Mailing Address Details
Address
1000 Ainsworth Dr
City
Prescott
State
Arizona
Zip
86305-1667
Phone Number
928-778-1971
Fax Number
928-443-8473
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20366 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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