Individual
DR. SCOTT S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
848 N SAINT FRANCIS ST STE 1900, WICHITA, KS 67214-3841
(316) 268-5881
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0425800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175780E
—
KS
Enumeration date
02/22/2006
Last updated
09/12/2018
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