Most Relevant Information
Provider Data
NPI Number: | 1003173436 |
Provider Name: | BRANDON TERON JOHNSON MD |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 04/23/2012 |
Last Updated: | 10/08/2024 |
Provider Practice Location
4880 NE GOODVIEW CIR
LEES SUMMIT
MO
640641996
Practice Location Phone/Fax
Phone: | 8164784200 |
Fax: | 8168752598 |
Provider Mailing Location
5101 COLLEGE BLVD
LEAWOOD
KS
662111614
Provider Mailing Phone/Fax
Phone: | 8164784200 |
Fax: | 8168752597 |