DR. Glen E Johnson, M.D.

NPI #1942224258 in Creve Coeur, Missouri

Provider Information

NPI Number: 1942224258
Entity Type: Individual
Name: DR. Glen E Johnson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: M.D.
Enumeration Date: Jul 27, 2006
Last Updated: Oct 29, 2021

Practice Location

Address: 675 OLD BALLAS RD STE 100
City: Creve Coeur
State: Missouri
ZIP Code: 63141-7083
Phone: (314) 733-9009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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