Individual
MR. STANLEY ROBIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2610 TENDERFOOT HILL ST, COLORADO SPRINGS, CO 80906-3981
(719) 522-1133
(719) 576-2025
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0000080
CO
363A00000X
Physician Assistant
Primary
PA0000080
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07000805
—
CO
01
—
970017046
RR MEDICARE
CO
Enumeration date
05/09/2006
Last updated
04/22/2026
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