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Individual

DR. JOHNSON NMI UNDERWOOD III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-4608
Mailing address
4222 N GRAND AVE, KANSAS CITY, MO 64116-4517
(816) 861-4700
(816) 922-4608

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
30725
MO

Other

Enumeration date
06/20/2007
Last updated
08/08/2007
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