Individual
JOHNNY CREED STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 S JACKSON AVE, JOPLIN, MO 64804-2525
(417) 624-0440
Mailing address
2829 S JACKSON AVE, JOPLIN, MO 64804-2525
(417) 624-0440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2026013576
MO
207N00000X
Dermatology Physician
Primary
L3843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151083601
—
TX
Enumeration date
03/09/2006
Last updated
04/08/2026
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