Individual
CAROLYN J. JOHNSON-DRAGOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13271 BASS PRO DR STE 140, COLORADO SPRINGS, CO 80921-3828
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1872
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0001872
STATE MEDICAL LICENSE
CO
Enumeration date
08/31/2006
Last updated
03/17/2025
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