Individual
DR. ROBERT C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-7327
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
(217) 223-7327
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036141870
IL
2085R0001X
Radiation Oncology Physician
102829
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19960025
BCBS
MO
05
—
206911414
—
MO
Enumeration date
10/05/2005
Last updated
11/27/2023
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