Individual provider · Type 1 NPI

Mary Elizabeth King Johnson, PA-C

Physician Assistant · St. Louis, MO

NPI number 1992944904 Active

Practice location

1040 N Mason Rd, Suite 103
St. Louis, MO 63141-6399

Call (314) 469-7246 Map

Mailing address

1352 Culpepper Ridge Dr
Ballwin, MO 63021-7527

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085003419 (IL)
Physician Assistant 363A00000X2009001275 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992944904

Mary Elizabeth King Johnson, PA-C's National Provider Identifier is 1992944904, issued on Feb 13, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 21, 2010.