| Doctor Name: | DR. DENISE ROBERTS JOHNSON |
| NPI Number: | 1285793356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | R9G45 |
| Business Practice Address: | 6973 Olive Blvd University City, MO - 631302540 |
| Business Phone Number: | 3148627515 |
| Business Fax Number: | 3148629214 |
| Mailing Address: | 6973 Olive Blvd, UNIVERSITY CITY |
| State: | MO |
| Postal Code: | 631302540 |
| Phone Number: | 3148627515 |
| Fax Number: | 3148629214 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 12/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | R9G45 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |