Doctor Name: | RUSSELL F JOHNSON |
NPI Number: | 1003801283 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01039533 |
Business Practice Address: | 327 Il Route 2 Dixon, IL - 610219118 |
Business Phone Number: | 8152841111 |
Business Fax Number: | 8152842306 |
Mailing Address: | 327 Il Route 2, DIXON |
State: | IL |
Postal Code: | 610219118 |
Phone Number: | 8152841111 |
Fax Number: | 8152842306 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | 01039533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |