Individual
MR. DAVID S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4801 CLIFF AVE, SUITE 101 EYE SURGERY CENTER THE CLIFFS, INDEPENDENCE, MO 64055
(816) 478-4400
(816) 478-8240
Mailing address
4801 CLIFF AVE, SUITE 100 ADMIN, INDEPENDENCE, MO 64055
(816) 478-1230
(816) 350-4585
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105291
MO
367500000X
Certified Registered Nurse Anesthetist
1492144101
KS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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