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Search › Missouri › 2080S0012X

Homer Johnson, M.D

NPI 1932223898 · on the registry since 2007

Practice

Address
1475 Kisker Rd
Suite 200
Saint Charles, MO 63304
Phone
(636) 498-7880
Fax
(636) 498-7889
Organisation at this address
Amod P Paranjpe, Dpm
Outside The Box, Inc.
Ssm Medical Group Inc.
Heel To Toe Podiatry Llc
Forefront Dermatology, S.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
2080S0012X
2080S0012X
Also registered as
207Q00000X
207Q00000X
207QS1201X
Licence states on file
FL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-14

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