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Organization

THE DR ROY JOHNSON MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD A BLUM MD (PHYSICIAN PRESIDENT)
(314) 521-1302
Entity
Organization

Contact information

Practice address
40 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-1302
(314) 521-5120
Mailing address
40 N FLORISSANT RD, FERGUSON, MO 63135-2332
(314) 521-1302
(314) 521-5120

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/23/2005
Last updated
08/22/2020
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