Individual
DR. SAIRAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 W NIFONG BLVD STE 101, COLUMBIA, MO 65203-4469
(573) 815-6640
(573) 815-6644
Mailing address
900 W NIFONG BLVD STE 101, COLUMBIA, MO 65203-4469
(573) 815-6640
(573) 815-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024036353
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2024036353
MO
Other
Enumeration date
07/15/2020
Last updated
11/05/2024
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