Individual
TERESA MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4259
(970) 384-7340
(970) 928-2530
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4259
(970) 384-7033
(970) 384-8174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0063952
CO
Other
Enumeration date
03/28/2017
Last updated
09/23/2020
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