Individual
DR. ROY CARL ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
788 MOUNT VERNON AVE, COLUMBUS, OH 43203-1408
(614) 457-4570
(614) 457-3777
Mailing address
788 MOUNT VERNON AVE, COLUMBUS, OH 43203-1408
(614) 457-4570
(614) 457-3777
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35054825S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0679538
—
OH
01
—
290013646
RAILROAD MEDICARE
OH
Enumeration date
12/28/2005
Last updated
03/29/2023
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