Individual
DR. DEREK RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9949 S OSWEGO ST, SUITE 200, PARKER, CO 80134-3753
(303) 925-4750
(303) 925-4751
Mailing address
9949 S OSWEGO ST, SUITE 200, PARKER, CO 80134-3753
(303) 925-4750
(303) 925-4751
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301081956
MI
207X00000X
Orthopaedic Surgery Physician
46601
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
46601
CO
Other
Enumeration date
05/24/2007
Last updated
04/13/2017
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