| Doctor Name: | ROBERT DALE JOHNSON |
| NPI Number: | 1497846067 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 042-0005945 |
| Business Practice Address: | 130 Fisher Rd Central Vermont Hospital Berlin, VT - 056029516 |
| Business Phone Number: | 8023714249 |
| Business Fax Number: | |
| Mailing Address: | 2759 Crosstown Rd, BERLIN |
| State: | VT |
| Postal Code: | 056029036 |
| Phone Number: | 8022235122 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 09/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 042-0005945 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |