Individual
QUINN L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003005868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100456030A
—
KS
05
—
200009700A
—
OK
05
—
208333302
—
MO
01
—
P00011442
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
09/02/2022
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