Organization
MOUNTAIN STATES PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M JOHNSON MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
9005 GRANT STREET, THORNTON, CO 80229-4300
(303) 288-4694
Mailing address
PO BOX 952255, DALLAS, TX 75395-2255
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76008347
—
CO
Enumeration date
08/05/2010
Last updated
10/13/2010
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