Reginald Johnson
NPI 1356029482 · on the registry since 2023
Practice
- Address
- 3 Quail Hollow Ct Apt A
Glen Carbon, IL 62034 - Phone
- (618) 954-5885
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-10
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 Illinois