Johnson, Robert L

Johnson, Robert L is an individual health care provider with primary practice located at 18699 N 67Th Ave Suite 310, Glendale AZ 85308-7140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Johnson, Robert L can be contacted via phone (623) 362-2266.

Contact Information

Primary practice address
18699 N 67Th Ave Suite 310 Glendale AZ 85308-7140
Phone: (623) 362-2266
Fax: (623) 362-2412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 17150 Arizona

Profile Details

NPI number 1407825045
LBN Legal business name Johnson, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407825045 NPPES
Arizona MEDICAID 273053

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