Individual
JOSEPH DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-5400
(720) 974-4992
Mailing address
8175 SHERIDAN BLVD, UNIT N, ARVADA, CO 80003-1956
(303) 557-0855
(720) 336-3149
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR-53960
CO
207R00000X
Internal Medicine Physician
Primary
DR.0053960
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CO
Enumeration date
03/27/2011
Last updated
03/17/2018
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