Organization
JOHNSON PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE ROBERTS JOHNSON M.D. (PRESIDENT)
(314) 862-7515
Entity
Organization
Contact information
Practice address
6973 OLIVE BLVD, UNIVERSITY CITY, MO 63130-2540
(314) 862-7515
(314) 862-9214
Mailing address
6973 OLIVE BLVD., UNIVERSITY CITY, MO 63130
(314) 862-7515
(314) 862-9214
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R9G45
MO
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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