Individual
ALAN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 HILLCREST DR, FORT COLLINS, CO 80521-5111
(970) 792-7850
Mailing address
172 HILLCREST DR, FORT COLLINS, CO 80521-5111
(970) 792-7850
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106402907
—
WY
05
—
106402908
—
WY
Enumeration date
05/11/2017
Last updated
10/23/2024
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