Individual
DR. ROBERT C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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