Individual
DR. GLENN A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
500 9TH AVE, SUITE 5, LONGMONT, CO 80501-4598
(303) 772-4544
Mailing address
500 9TH AVE, SUITE 5, LONGMONT, CO 80501-4598
(303) 772-4544
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1289
CO
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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