Individual
ROBERT C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S EUCLID AVE, STE # 212, SIOUX FALLS, SD 57105-7703
(605) 336-0635
(605) 336-7182
Mailing address
1200 S EUCLID AVE, STE # 212, SIOUX FALLS, SD 57105-7703
(605) 336-0635
(605) 336-7182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2221
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956011
—
IA
01
—
340007599
RAILROAD MEDICARE
SD
05
—
7500130
—
SD
Enumeration date
05/04/2006
Last updated
04/24/2008
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