Individual
DR. LELAND MANN JOHNSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 SUMAC AVE, BOULDER, CO 80304-0814
(720) 565-1422
(866) 849-7805
Mailing address
1740 SUMAC AVE, BOULDER, CO 80304-0814
(720) 565-1422
(866) 849-7805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
38458
CO
Other
Enumeration date
02/06/2007
Last updated
01/25/2008
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