Individual
DR. THOMAS G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5115 FONTAINE BLVD, FOUNTAIN, CO 80817-1061
(719) 392-2000
(719) 392-6937
Mailing address
5115 FONTAINE BLVD, FOUNTAIN, CO 80817-1061
(719) 392-2000
(719) 392-6937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01275692
—
CO
Enumeration date
03/22/2006
Last updated
08/09/2011
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