Individual
ROY DEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 HEALTH PARK DR, LOUISVILLE, CO 80027-9583
(303) 422-9438
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438
(303) 422-9474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
169106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82757747
—
CO
Enumeration date
07/07/2006
Last updated
11/10/2009
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