BRADLEY LOYAL JOHNSON MD NPI 1720195068

NPI Information

Bradley Loyal Johnson, MD is a diagnostic radiology radiology in Walla Walla, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Bradley Loyal Johnson, MD NPI is 1720195068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 W POPLAR ST
RADIOLOGY
WALLA WALLA, WA
ZIP 99362-846
Phone: (509) 522-5790
Fax: (509) 522-5744

The enumeration date for this NPI number is 8/24/2006 and was last updated on 3/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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