SearchArkansas390200000X

Robert Johnson

NPI 1487481776 · on the registry since 2024 · sole proprietor

Practice

Address
63 Woodridge Dr
Little Rock, AR 72204
Phone
(501) 960-4490

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas