Individual
ANTHONY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SURG ASSIT
Contact information
Practice address
253 KAHIL PL, FORT LUPTON, CO 80621-1221
(970) 350-4800
Mailing address
253 KAHIL PL, FORT LUPTON, CO 80621-1221
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
CO
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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