Sheldon Bryan Johnson D.O.

NPI 1144516402 - Family Medicine - 207Q00000X

NPI Details
NPI 1144516402
Gender Male
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
615 S NEW BALLAS RD
SAINT LOUIS MO, 63141-8221, US
Phone (314) 251-8950
Fax (314) 251-8889
Business Location
615 S NEW BALLAS RD
SAINT LOUIS MO, 63141-8221, US
Phone (314) 251-8950
Fax (314) 251-8889
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 2011018954
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According to our database, Dr. Sheldon Bryan Johnson D.O. NPI is 1144516402, taxonomy code is 207Q00000X and license number is 2011018954, license state is located at Missouri. Sheldon Bryan Johnson D.O. physically located at 615 S New Ballas Rd, Saint Louis MO, 63141-8221. NPI Number Sheldon Bryan Johnson D.O. has the Individual type.

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1144516402 NPI number is provided on an as is basis without warranty of any kind. 1144516402 is maintained by the National Plan & Provider Enumeration System. The contents of Sheldon Bryan Johnson D.O. are for informational purposes only.