Individual
JOY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1702 N. KINGSHIGHWAY, CAPE GIRARDEAU, MO 63701-2122
(573) 339-0483
(573) 339-1876
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2010003219
MO
207R00000X
Internal Medicine Physician
Primary
2010003219
MO
208000000X
Pediatrics Physician
2010003219
MO
Other
Enumeration date
08/16/2005
Last updated
10/13/2021
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