Individual
MR. OJI DEMARCUS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1931 BURLINGTON ST, NORTH KANSAS CITY, MO 64116-3407
(816) 241-2131
(816) 241-0551
Mailing address
2317 NE BRIDGEPORT DR, LEES SUMMIT, MO 64086-5002
(816) 518-6313
(816) 241-0551
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2003026731
MO
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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