Individual
DR. ROBERT MAX JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1942 ADDISON AVE E # 2, TWIN FALLS, ID 83301-5304
(208) 734-8680
Mailing address
PO BOX 565, TWIN FALLS, ID 83303-0565
(208) 734-8680
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
721
ID
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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