Organization
WARREN T. JOHNSON
Active
Other names
Owl Creek Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN T JOHNSON MD (CEO)
(303) 655-1111
Entity
Organization
Contact information
Practice address
70 S 20TH AVE, SUITE H, BRIGHTON, CO 80601-3703
(303) 655-1111
(303) 655-1172
Mailing address
70 S 20TH AVE, SUITE H, BRIGHTON, CO 80601-3703
(303) 655-1111
(303) 655-1172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24827
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01248277
—
CO
Enumeration date
07/03/2013
Last updated
07/03/2013
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