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NPI Code Detail

MEDICARE: DAVID JOHNSON

MEDICARE: DAVID JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant12273CO

General Provider Information

NPI Number : 1437692100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID JOHNSON
Provider Business Mailing Address
First Line : 9707 WHITECLIFF PL
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80129-5747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3131 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80236-2713
Country : US
Telephone Number : 303-761-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2016
Last Update Date : 11/29/2016

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Directions to “ DAVID JOHNSON ” Practice Location

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