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NPI Code Detail

MEDICARE: HAROLD L JOHNSON MD

MEDICARE: HAROLD L JOHNSON MD
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
1207Q00000XFamily Medicine PhysicianDR.0034800CO

General Provider Information

NPI Number : 1801860101
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROLD L JOHNSON MD
Provider Business Mailing Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3102
Fax Number : 303-440-3175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 03/10/2025

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