Individual
BERNADETTE KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2005019610
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
DR.0050433
CO
Other
Enumeration date
04/08/2008
Last updated
12/05/2018
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