Individual
DR. JOYCE D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6744 CLAYTON RD, SAINT LOUIS, MO 63117-1637
(314) 781-5999
(314) 781-5888
Mailing address
180 WEIDMAN RD, SUITE 125, ST. LOUIS, MO 63021
(636) 207-0277
(636) 207-0221
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MO 36382
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017094
CARE PARTNERS
MO
05
—
202168308
—
MO
01
—
2058V2058
HCUSA
MO
Enumeration date
09/06/2006
Last updated
07/08/2007
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