NICHOLAS JOHNSON

SAINT LOUIS, MO
NPI1881019107
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MO  2014003457)
Enumeration Date2014-02-24
Last Update Date2021-01-14
Business Address
Mr. NICHOLAS JOHNSON
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-7033
Mailing Address
Mr. NICHOLAS JOHNSON
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number:
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