NPI 1003344789

Brett M Johnson, PAC

Practitioner Physician Assistant Deadwood, SD

Practice location

Address: 61 Charles St, Deadwood, SD 57732-1303
Phone: (605) 717-6000

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1081 (SD)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1003344789
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2017
Record last updated: 25 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.