Individual
TERRY D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 LAFAYETTE AVE UNIT 609, SAINT LOUIS, MO 63104-3354
(314) 202-0413
Mailing address
1515 LAFAYETTE AVE UNIT 609, SAINT LOUIS, MO 63104-3354
(314) 202-0413
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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