Organization
ACADEMY DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A JOHNSON M.D. (PRESIDENT)
(719) 590-1800
Entity
Organization
Contact information
Practice address
3615 HILL CIR, COLORADO SPRINGS, CO 80904-1076
(719) 590-1800
(719) 590-1858
Mailing address
3246 CENTENNIAL BLVD # 112, COLORADO SPRINGS, CO 80907-4077
(719) 590-1800
(719) 590-1858
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
24691
CO
Other
Enumeration date
05/29/2013
Last updated
07/12/2023
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