Individual
JOHNNY L VENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Mailing address
3125 DR RUSSELL SMITH WAY, CARTHAGE, MO 64836-7402
(417) 358-8121
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
R2C39
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184420A
—
OK
05
—
100229510B
—
KS
05
—
241713916
—
MO
Enumeration date
06/20/2006
Last updated
10/08/2018
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