Organization
FORT COLLINS PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WALKER JOHNSON M.D. (OWNER)
(970) 484-9027
Entity
Organization
Contact information
Practice address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 484-9027
Mailing address
1006 ROBERTSON ST, FORT COLLINS, CO 80524-3900
(970) 484-9027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19654
KY
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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