Individual
DR. RICHARD W JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 ROBERTSON ST, STE 104, FORT COLLINS, CO 80524-3948
(970) 484-9027
(970) 484-2283
Mailing address
1006 ROBERTSON ST, STE 104, FORT COLLINS, CO 80524-3948
(970) 484-9027
(970) 484-2283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19654
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196542
—
CO
Enumeration date
06/01/2005
Last updated
07/08/2007
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