Individual
ANDREW COLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6500
(573) 884-0437
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024004720
MO
363AS0400X
Surgical Physician Assistant
2940731206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346550829
—
NC
01
—
19EL2
BCBS-NC
NC
Enumeration date
10/18/2010
Last updated
07/11/2024
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