Individual
ALLISON ELLI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8775
Mailing address
607 S NEW BALLAS RD STE 3100, SAINT LOUIS, MO 63141-8219
(314) 251-8775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024000078
MO
Other
Enumeration date
01/25/2024
Last updated
04/22/2024
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