Organization
JEFFERY CM JOHNSON DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY JOHNSON DC (CHIROPRACTOR)
(417) 623-8844
Entity
Organization
Contact information
Practice address
1420 S JOPLIN AVE, JOPLIN, MO 64801-4524
(417) 623-8844
Mailing address
1420 S JOPLIN AVE, JOPLIN, MO 64801-4524
(417) 623-8844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1999134933
MO
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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