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Individual
MR. WALTER L JOHNSTON
Active
Individual
MR. WALTER L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2002018631
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215163498
TRIWEST
MO
05
—
1215163498
—
IL
05
—
1215163498
—
MO
01
—
177521
HEALTH ALLIANCE
MO
01
—
A03110
HEALTHLINK
MO
Enumeration date
06/02/2009
Last updated
04/01/2014
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