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Individual

DENNIS P JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 244-2506
Mailing address
1120 WELLINGTON AVE, SUITE 206, GRAND JUNCTION, CO 81501-6129
(970) 243-7245
(970) 241-1308

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43412
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90704061
CO
01
P00276673
RAILROAD MEDICARE
05
T0415
UT
Enumeration date
03/27/2006
Last updated
11/21/2007
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