Individual
WILLIAM L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1106 YIOTIS WAY, COLUMBIA, MO 65203-6660
(573) 673-6861
(573) 443-2905
Mailing address
1106 YIOTIS WAY, COLUMBIA, MO 65203-6660
(573) 673-6861
(573) 443-2905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132482
MO
Other
Enumeration date
12/07/2006
Last updated
01/15/2014
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