Individual
MATTHEW SCOTT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7150 E HARRY ST, WICHITA, KS 67207-2914
(316) 687-2651
(316) 687-9725
Mailing address
7150 E HARRY ST, WICHITA, KS 67207-2914
(316) 687-2651
(316) 687-9725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21455
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057425
BC/BS
KS
Enumeration date
08/05/2006
Last updated
10/25/2007
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