SearchMissouriSurgical Assistant

Dewayne Johnson

NPI 1306526686 · on the registry since 2023 · sole proprietor

Practice

Address
1640 Emerald Creek Dr
Florissant, MO 63031
Phone
(314) 283-2067

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-20

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