Dr. Robert W. Johnson, L.l.c. | |
515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 | |
(318) 253-5141 | |
(318) 240-8735 |
Full Name | Dr. Robert W. Johnson, L.l.c. |
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Speciality | Dentist |
Location | 515 W Waddil St, Marksville, Louisiana |
Authorized Official Name and Position | Robert Allen Johnson (DIRECTOR) |
Authorized Official Contact | 3182530935 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr. Robert W. Johnson, L.l.c. 515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 Ph: (318) 253-5141 | Dr. Robert W. Johnson, L.l.c. 515 W Waddil St Post Office Box 307 Marksville LA 71351-2648 Ph: (318) 253-5141 |
NPI Number | 1427369891 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 06/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427369891 | NPI | - | NPPES |
1823601 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |