Organization
VEGACORP PC
Active
Other names
Johnson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHNSON D.C. (CHIROPRACTOR)
(641) 472-7333
Entity
Organization
Contact information
Practice address
2094 185TH ST., SUITE 40, FAIRFIELD, IA 52556-8758
(641) 472-7333
(888) 279-4868
Mailing address
PO BOX 2195, FAIRFIELD, IA 52556-0037
(641) 472-7333
(888) 279-4868
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ111N00000X
—
IA
Enumeration date
12/29/2016
Last updated
01/11/2017
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