Individual
DAVID JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 28 1/4 RD, GRAND JUNCTION, CO 81506-6023
(970) 243-3300
(970) 243-4464
Mailing address
PO BOX 1687, GRAND JUNCTION, CO 81502-1687
(970) 256-6322
(970) 263-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52217
CO
Other
Enumeration date
06/21/2010
Last updated
12/09/2015
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