| Rudolph Johnson Jr, CRNA | |
|
1400 Us Highway 61, Festus, MO 63028-4100 | |
| (636) 933-1000 | |
| Not Available |
| Full Name | Rudolph Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1400 Us Highway 61, Festus, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811903511 | NPI | - | NPPES |
| 430687077013 | Other | MO | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 050632 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph Johnson Jr, CRNA Po Box 350, Crystal City, MO 63019-0350 Ph: (636) 933-1000 | Rudolph Johnson Jr, CRNA 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (636) 933-1000 |
Amanda Rae Mcvey, BSN, CCRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-1033 | |
Tricia A Sutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-1000 | |
Lisa Berry Lasater, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-1000 | |
Tamera Lynn Harris, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-1000 | |
Kay Lyn Chappell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 363-933-1000 Fax: 319-356-2940 |