Individual
DARLENE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1390 S POTOMAC ST, SUITE 124, AURORA, CO 80012-6165
(303) 368-8611
(303) 368-9791
Mailing address
1390 S POTOMAC ST, SUITE 124, AURORA, CO 80012-6165
(303) 368-8611
(303) 368-9791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
41812
CO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
41812
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68136366
—
CO
01
—
P00176398
RR MEDICARE
CO
Enumeration date
08/19/2005
Last updated
12/09/2020
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