Healthcare Provider Details

I. General information

NPI: 1669502746
Provider Name (Legal Business Name): MARTHA BETH JOHNS M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST MC 1914
DENVER CO
80204-4507
US

IV. Provider business mailing address

777 BANNOCK ST MC 1914
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-6000
  • Fax:
Mailing address:
  • Phone: 303-433-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number34920
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: