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Grover Johnson
NPI 1023759206 · on the registry since 2022
Practice
- Address
- 3600 Country Club Dr Ste 530a
Jefferson City, MO 65109 - Phone
- (573) 606-7100
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri