Organization
FIRST STEP FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER L JOHNSON DPM (DOCTOR OF PODIATRIC MEDICINE)
(573) 578-0939
Entity
Organization
Contact information
Practice address
806 HWY 72 E, ROLLA, MO 65401
(573) 578-0939
(573) 426-6051
Mailing address
11568 PINE FOREST DR, ROLLA, MO 65401-5427
(573) 578-0939
(573) 426-6051
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
000803
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154337202
NPI
MO
05
—
305351900
—
MO
Enumeration date
01/10/2011
Last updated
01/10/2011
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