Organization
JEFFREY P JOHNSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY P JOHNSON MD (PHYSICIAN/OWNER)
(970) 874-7119
Entity
Organization
Contact information
Practice address
95 STAFFORD LN, DELTA, CO 81416-3465
(970) 874-8026
(970) 874-5430
Mailing address
PO BOX 1129, DELTA, CO 81416-1129
(970) 874-2470
(970) 874-2475
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50181
CO
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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