| Susan S Johnson Md And Brian L Johnson Md Pc | |
|
103 Ripley St Columbia MO 65201-5738 | |
| (573) 442-9944 | |
| (573) 442-5345 |
| Full Name | Susan S Johnson Md And Brian L Johnson Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Ripley St, Columbia, Missouri |
| Authorized Official Name and Position | Brian L Johnson (PHYSICIAN) |
| Authorized Official Contact | 5734429944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan S Johnson Md And Brian L Johnson Md Pc 4700 Forum Blvd Columbia MO 65203-5654 Ph: (573) 449-4936 | Susan S Johnson Md And Brian L Johnson Md Pc 103 Ripley St Columbia MO 65201-5738 Ph: (573) 442-9944 |
| NPI Number | 1992701700 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992701700 | NPI | - | NPPES |
| DB6476 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Missouri) | Primary |
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