Individual
MRS. LEIGH ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 308, LIBERTY, MO 64068-3388
(816) 407-5490
(816) 407-5491
Mailing address
2521 GLENN HENDREN DR, SUITE 308, LIBERTY, MO 64068-3388
(816) 407-5490
(816) 407-5491
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2009028275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891806568
NPI
—
Enumeration date
08/31/2006
Last updated
02/19/2020
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