Walter Johnston

NPI 1215163498 · on the registry since 2009

Practice

Address: 1008 N Main St
Sikeston, MO 63801
Phone: (573) 472-6003
Fax: (573) 472-6006
Organisation at this address: Pro Anesthesia Llc
Heartland Imaging, Llc
Sikeston Emergency Group Llc
Missouri Delta Medical Center
Missouri Delta Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 47

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-04-01

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