Individual
DR. DONALD JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 MEMORIAL DR, SUITE 340, BELLEVILLE, IL 62226-5373
(618) 234-9884
(618) 235-9020
Mailing address
4500 MEMORIAL DRIVE, MEMORIAL HOSPITAL MED AFFAIRS CREDENTIALING DEPT, BELLEVILLE, IL 62226
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-099381
IL
Other
Enumeration date
08/21/2006
Last updated
03/21/2016
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