Provider Demographics
NPI:1336106947
Name:JOHNS, ROBERT F (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:JOHNS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4530 E RAY RD
Mailing Address - Street 2:#100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-6094
Mailing Address - Country:US
Mailing Address - Phone:480-598-7500
Mailing Address - Fax:480-598-7510
Practice Address - Street 1:1151 N GILBERT RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-5127
Practice Address - Country:US
Practice Address - Phone:480-610-0688
Practice Address - Fax:480-969-6132
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2435207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ289571Medicaid
AZD47223Medicare UPIN
AZ289571Medicaid
AZZ78462Medicare PIN