Individual
DR. KATHERINE MIRRO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3885 UPHAM ST, SUITE 200, WHEAT RIDGE, CO 80033-4880
(303) 425-9245
(303) 425-1378
Mailing address
PO BOX 1449, WHEAT RIDGE, CO 80034-1449
(303) 425-9245
(303) 425-1378
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
53932
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2008
Last updated
03/03/2020
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