Organization
JOHNSON AND KEENE MD PC
Active
Other names
Full Circle Health Associates
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L JOHNSON MD (OWNER)
(303) 682-1112
Entity
Organization
Contact information
Practice address
2030 MOUNTAIN VIEW AVENUE, SUITE 540, LONGMONT, CO 80501-3183
(303) 682-1112
(303) 702-5935
Mailing address
2030 MOUNTAIN VIEW AVENUE, SUITE 540, LONGMONT, CO 80501-3183
(303) 682-1112
(303) 702-5935
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12979554
—
CO
Enumeration date
07/18/2007
Last updated
08/03/2009
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