Individual
MR. JOSEPH L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP, CTPO
Contact information
Practice address
561 E GARDEN DR, STE H, WINDSOR, CO 80550-3148
(970) 686-2266
(970) 686-8823
Mailing address
561 E GARDEN DR, STE H, WINDSOR, CO 80550-3148
(970) 686-2266
(970) 686-8823
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CO15753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117954300
—
WY
05
—
97021032
—
CO
Enumeration date
09/22/2005
Last updated
03/10/2017
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