Individual
MRS. JULIE JACKSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2130 HOLLOW BROOK DR, SUITE #100, COLORADO SPRINGS, CO 80918-8400
(719) 590-7007
(719) 590-7037
Mailing address
175 S UNION BLVD, STE 350, COLORADO SPRINGS, CO 80910-3146
(719) 590-7007
(719) 590-7037
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2615
CO
Other
Enumeration date
07/21/2008
Last updated
02/09/2017
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