ETHAN JOHNSON

SPRINGFIELD, MO
NPI1619827227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2026-02-02
Last Update Date2026-02-02
Business Address
ETHAN JOHNSON
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-496-0724
Mailing Address
ETHAN JOHNSON
1123 E MEADOWLARK ST
SPRINGFIELD, MO 65810-2961
Phone number:
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