The Dr Roy Johnson Medical Center INC

NPI #1093708240 in Ferguson, Missouri

Provider Information

NPI Number: 1093708240
Entity Type: Organization
Organization Name: The Dr Roy Johnson Medical Center INC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 40 N FLORISSANT RD
City: Ferguson
State: Missouri
ZIP Code: 63135-2332
Phone: (314) 521-1302

Authorized Official

Name: DR. DONALD A BLUM, MD
Title: PHYSICIAN PRESIDENT
Phone: (314) 521-1302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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