Individual
ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7311
Mailing address
2 GREYSTOKE CT, BALLWIN, MO 63021-4440
(636) 394-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-089660
IL
207P00000X
Emergency Medicine Physician
MD100153
MO
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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