Individual
DANIEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
(719) 572-6186
Mailing address
1795 JET WING DR, COLORADO SPRINGS, CO 80916-2332
(719) 572-6100
(719) 572-6186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006545
CO
Other
Enumeration date
12/15/2020
Last updated
08/12/2025
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