Individual
WILLIAM D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 MAPLE VALLEY DR, FARMINGTON, MO 63640-1919
(573) 760-7920
(573) 756-9597
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
Primary
R9E08
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503111908
—
MO
Enumeration date
06/08/2006
Last updated
03/01/2021
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