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Individual

DR. CHRISTOPHER L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
1050 W 10TH ST, ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS, ROLLA, MO 65401-2905
(573) 364-9000

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000803
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30531900
MO
05
305351918
MO
05
305351926
MO
05
365905405
MO
05
365905413
MO
Enumeration date
07/31/2006
Last updated
09/11/2025
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