Individual
ROBERT L JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18699 N 67TH AVE, SUITE 310, GLENDALE, AZ 85308-7140
(623) 362-2266
(623) 362-2412
Mailing address
6301 S MCCLINTOCK DR, SUITE 115, TEMPE, AZ 85283-3392
(480) 897-0242
(480) 897-0244
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
17150
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273053
—
AZ
Enumeration date
03/16/2006
Last updated
07/09/2007
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