Individual
DR. ROBERT A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 S 4TH ST, FAIRFIELD, IA 52556-3330
(641) 472-7333
(267) 373-4247
Mailing address
2094 185TH ST STE 40, FAIRFIELD, IA 52556-8758
(641) 472-7333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5196
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207555
—
IA
Enumeration date
10/10/2006
Last updated
03/29/2010
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