Individual
MR. RONALD DEAN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5195 N SPLITRAIL DR, COLORADO SPRINGS, CO 80917-1884
(719) 271-6218
(719) 638-8740
Mailing address
5195 N SPLITRAIL DR, COLORADO SPRINGS, CO 80917-1884
(719) 271-6218
(719) 638-8740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
302
CO
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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