NPI 1013097708

Robert Max Johnson, DC

Practitioner Chiropractor Twin Falls, ID

Practice location

Address: 1942 Addison Ave E # 2, Twin Falls, ID 83301-5304
Phone: (208) 734-8680
Mailing address: PO Box 565, Twin Falls, ID 83303-0565

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 721 (ID)

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Registry record

NPI: 1013097708
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.