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Individual

COLLEEN ANN JOHNSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTH STAR WAY, MODESTO, CA 95356
(209) 342-2300
(209) 524-4240

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A81584
CA

Other

Enumeration date
11/04/2005
Last updated
07/08/2007
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