| Doctor Name: | DR. ROBERT C JOHNSON |
| NPI Number: | 1053308825 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 102829 |
| Business Practice Address: | 902 N Riverside Rd #201 Saint Joseph, MO - 645072559 |
| Business Phone Number: | 8162717280 |
| Business Fax Number: | 8162711047 |
| Mailing Address: | Po Box 1201, SAINT JOSEPH |
| State: | MO |
| Postal Code: | 645021201 |
| Phone Number: | 8162717280 |
| Fax Number: | 8162711047 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 102829 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| 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. |