Individual
DR. BENJAMIN KEITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 W HIGHWAY 76, BRANSON, MO 65616-2238
(417) 317-5318
Mailing address
102 HORSESHOE AVE APT 1, NIXA, MO 65714-9128
(773) 559-0612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018031276
MO
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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