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Individual

DEANNA H JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2312 N NEVADA AVE, SUITE 100, COLORADO SPRINGS, CO 80907-5302
(719) 473-3272
(719) 389-1191
Mailing address
2312 N NEVADA AVE, SUITE 100, COLORADO SPRINGS, CO 80907-5302
(719) 473-3272
(719) 389-1191

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2243
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47489057
CO
Enumeration date
06/29/2006
Last updated
09/18/2013
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