Individual
MR. CODY D JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
403 BURKARTH RD, WARRENSBURG, MO 64093-3101
(660) 747-2500
(660) 747-8455
Mailing address
247 NE 71ST RD, WARRENSBURG, MO 64093-7407
(479) 739-0149
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89932
AR
Other
Enumeration date
03/29/2012
Last updated
04/30/2012
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