Individual
DR. JAY PATRICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D., CCC-A
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2023003296
MO
237600000X
Audiologist-Hearing Aid Fitter
51759
TX
Other
Enumeration date
12/08/2006
Last updated
02/03/2023
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