Individual
EVAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(816) 655-5426
Mailing address
201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
(320) 250-9656
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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