Individual
JYOTI B JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-5000
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020033746
MO
Other
Enumeration date
06/25/2020
Last updated
11/06/2020
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