Individual
MS. ELARY VIOLETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6660 DELMONICO DR, SUITE D-455, COLORADO SPRINGS, CO 80919-1899
(719) 641-7999
(844) 511-6950
Mailing address
7610 N UNION BLVD, STE 150, COLORADO SPRINGS, CO 80920-3800
(719) 434-8810
(519) 805-2164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1628
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70929319
—
CO
Enumeration date
05/25/2006
Last updated
01/23/2020
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