Johnson, Brad Russell
Johnson, Brad Russell is an individual health care provider with primary practice located at 9207 Highway 71 S Suite 9, Fort Smith AR 72916-9117. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Johnson, Brad Russell can be contacted via phone (479) 649-3376.Contact Information
Primary practice address
9207 Highway 71 S Suite 9
Fort Smith AR 72916-9117
Phone: (479) 649-3376
Fax: (479) 646-0133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | E-4601 | Arkansas |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | E-4601 | Arkansas |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | E4601 | Arkansas |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | E-4601 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | E-4601 | Arkansas |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | E-4601 | Arkansas |
Profile Details
| NPI number | 1538165295 |
|---|---|
| LBN Legal business name | Johnson, Brad Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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