Organization
DALE S JOHNSON M D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE JOHNSON M.D. (PRESIDENT)
(303) 772-3611
Entity
Organization
Contact information
Practice address
1319 VIVIAN ST, LONGMONT, CO 80501-3216
(303) 772-3611
(303) 772-3609
Mailing address
1319 VIVIAN ST, LONGMONT, CO 80501-3216
(303) 772-3611
(303) 772-3609
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/06/2006
Last updated
06/24/2010
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