Organization
SUSAN S JOHNSON MD AND BRIAN L JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN L JOHNSON MD (PHYSICIAN)
(573) 442-9944
Entity
Organization
Contact information
Practice address
103 RIPLEY ST, COLUMBIA, MO 65201-5738
(573) 442-9944
(573) 442-5345
Mailing address
4700 FORUM BLVD, COLUMBIA, MO 65203-5654
(573) 449-4936
(573) 449-6795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB6476
RAILROAD MEDICARE
MO
Enumeration date
06/27/2005
Last updated
07/21/2022
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