Individual
DR. MELISSA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
714 GRAVOIS RD, SUITE 210, FENTON, MO 63026-7727
(636) 660-9850
(636) 660-9851
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(636) 660-9850
(636) 660-9851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004008550
MO
Other
Enumeration date
07/27/2006
Last updated
11/01/2018
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