Individual
SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-8350
(515) 643-5824
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-8350
(515) 643-5824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R-13319
IA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/09/2024
Last updated
06/25/2024
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