Individual
DR. CHRISTOPHER VAUGHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N 8TH ST, EAST SAINT LOUIS, IL 62201-2989
(618) 271-0130
(618) 271-6325
Mailing address
100 N 8TH ST, EAST SAINT LOUIS, IL 62201-2989
(618) 271-0130
(618) 271-6325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
24544
OK
2084P0800X
Psychiatry Physician
Primary
036.125045
IL
2084P0800X
Psychiatry Physician
24544
OK
Other
Enumeration date
02/05/2007
Last updated
05/17/2021
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