Individual
DR. STEVEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13331 FAIRWAY CT, SILOAM SPRINGS, AR 72761-9682
(479) 238-1222
(479) 238-1229
Mailing address
13331 FAIRWAY CT, SILOAM SPRINGS, AR 72761-9682
(479) 524-4773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2000167443
MO
207Q00000X
Family Medicine Physician
3034
OK
207Q00000X
Family Medicine Physician
Primary
R4430
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251340B
—
OK
05
—
124617003
—
AR
05
—
1609802545
—
MO
Enumeration date
06/23/2006
Last updated
11/08/2023
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