Individual
COLTAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 946-7500
Mailing address
PO BOX 1397, BISMARCK, ND 58502-1397
(701) 946-7500
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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