Most Relevant Information
Provider Data
| NPI Number: | 1003817792 |
| Provider Name: | BRENT C JOHNSON M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207X00000X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 036108422 |
Most Important Dates
| Enumeration Date: | 08/03/2005 |
| Last Updated: | 10/27/2024 |
Provider Practice Location
6000 N ALLEN ROAD
PEORIA
IL
616143294
Practice Location Phone/Fax
| Phone: | 3096911400 |
| Fax: |
Provider Mailing Location
6000 N ALLEN ROAD
PEORIA
IL
616143294
Provider Mailing Phone/Fax
| Phone: | 3096911400 |
| Fax: |
Suggested EMR
Orthopedic EMR