Organization
MOUNTAIN STATES PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M JOHNSON (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
8451 PEARL ST, THORNTON, CO 80229-4804
(303) 288-3000
Mailing address
PO BOX 952255, DALLAS, TX 75395-2255
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20924771
—
CO
Enumeration date
02/26/2010
Last updated
07/07/2010
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