Individual
DR. MICHAEL J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2030 MOUNTAIN VIEW AVE, SUITE 210, LONGMONT, CO 80501-3178
(303) 684-1900
(303) 684-1925
Mailing address
7951 E MAPLEWOOD AVE, STE 300, GREENWOOD VILLAGE, CO 80111-4723
(303) 930-7800
(303) 930-7860
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
29384
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293844
—
CO
Enumeration date
12/06/2005
Last updated
07/15/2011
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