Individual
JOHNATHAN PUHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Mailing address
7100 E BELLEVIEW AVE STE G10, GREENWOOD VILLAGE, CO 80111-1634
(303) 745-0000
(303) 773-3675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008315
CO
Other
Enumeration date
07/14/2022
Last updated
03/14/2025
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