Individual
RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12700 E 19TH AVE, AURORA, CO 80045-2560
(303) 724-4852
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
46977
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66650259
—
CO
Enumeration date
06/14/2006
Last updated
11/19/2012
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