Individual
MR. ROBERT RUSSELL JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 262-4241
Mailing address
PO BOX 1181, SPRUCE PINE, NC 28777-1181
(828) 765-9928
(828) 765-8042
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
56170
NC
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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