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NPI Code Detail

MEDICARE: DR. HENRY M JOHNSTON III M.D.

MEDICARE:  DR. HENRY M JOHNSTON III M.D.
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
1207P00000XEmergency Medicine PhysicianDR.0025592CO

General Provider Information

NPI Number : 1770630121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY M JOHNSTON III M.D.
Provider Business Mailing Address
First Line : 15065 W 52ND AVE
Second Line :
City : GOLDEN
State : CO
Zip : 80403-1225
Country : US
Telephone Number : 303-885-9759
Fax Number :
Provider Business Practice Location Address
First Line : 15065 W 52ND AVE
Second Line :
City : GOLDEN
State : CO
Zip : 80403-1225
Country : US
Telephone Number : 303-885-9759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 02/10/2026

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Directions to “ DR. HENRY M JOHNSTON III M.D.” Practice Location

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