Individual provider · Type 1 NPI

Hayden Otto Johnson

Student in an Organized Health Care Education/Training Program · Columbia, MO

NPI number 1710828124 Active

Practice location

1 Hospital Dr # DC043.00
Columbia, MO 65212-1000

Fax (573) 884-4533

Mailing address

1251 S Cedar Grove Blvd
Columbia, MO 65201-8797

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710828124

Hayden Otto Johnson's National Provider Identifier is 1710828124, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, MO. The record was last updated on Apr 2, 2026.