Individual
BRYCE WILLIAM JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
119 W CHESTNUT, CLARENCE, MO 63437
(660) 699-2233
Mailing address
175 OLD HIGHWAY 36, CLARENCE, MO 63437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2017034995
MO
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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