Individual
DR. HOMER THOMAS JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 KISKER RD, SUITE 200, SAINT CHARLES, MO 63304-8781
(636) 498-7880
(636) 498-7889
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 97186
FL
207Q00000X
Family Medicine Physician
NO. 2007001620
MO
207QS1201X
Sleep Medicine (Family Medicine) Physician
2007001620
MO
2080S0012X
Pediatric Sleep Medicine Physician
Primary
2007001620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205475809
—
MO
Enumeration date
03/18/2007
Last updated
03/14/2022
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