Individual
ARWEN E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1783 15TH ST, DENVER, CO 80202-1888
(303) 532-1536
(978) 291-1875
Mailing address
1783 15TH ST, DENVER, CO 80202-1888
(303) 532-1536
(978) 291-1875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0054368
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25556215
—
CO
Enumeration date
03/29/2012
Last updated
05/07/2018
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