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Individual

DR. ROBERT TOVEY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
603 HEMLOCK ST STE 3B, BROOKINGS, OR 97415-9425
(541) 708-2060
(541) 982-7019
Mailing address
1043 CHETCO AVE # 141, BROOKINGS, OR 97415-7152
(541) 708-2060
(541) 982-7019

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3498
OR
111N00000X
Chiropractor
DC-26289
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4586534
CA
01
611981700
DEPT OF LABOR FECA #
Enumeration date
07/01/2005
Last updated
05/08/2024
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