Individual
MATHA K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 657-6777
Mailing address
909 LOGAN ST, 2F, DENVER, CO 80203-3062
(303) 467-2294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
107362
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006556
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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