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Individual

PHILIP JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
39926
CO
207L00000X
Anesthesiology Physician
Primary
G5939
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50932535
CO
Enumeration date
02/17/2006
Last updated
11/10/2021
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