Individual
SCOTT S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 EDISON ST, BRUSH, CO 80723-1642
(970) 842-6200
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23245
CO
207Q00000X
Family Medicine Physician
23245
CO
Other
Enumeration date
03/24/2006
Last updated
08/06/2008
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