Provider Demographics
NPI:1962441634
Name:JOHNSON, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5055 E BROADWAY BLVD STE A-100
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3629
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:5265 E KNIGHT DR
Practice Address - Street 2:TUCSON INTERNAL MEDICINE
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2147
Practice Address - Country:US
Practice Address - Phone:520-327-5911
Practice Address - Fax:520-881-0060
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-05-08
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Provider Licenses
StateLicense IDTaxonomies
AZ11870207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D90936Medicare UPIN