Alfred Darrell Johnson, MD Valid NPI
Individual provider · Internal Medicine Physician · Jefferson City, MO
- NPI
- 1396900510
- Type
- Individual (Type 1)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- License number
- 2012012471 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-07-28
- Last updated
- 2014-01-10
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
(573) 635-5264