Dale S Johnson M D PC

NPI #1174555718 in Longmont, Colorado

Provider Information

NPI Number: 1174555718
Entity Type: Organization
Organization Name: Dale S Johnson M D PC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 6, 2006
Last Updated: Jun 24, 2010

Practice Location

Address: 1319 VIVIAN ST
City: Longmont
State: Colorado
ZIP Code: 80501-3216
Phone: (303) 772-3611

Authorized Official

Name: DR. DALE JOHNSON, M.D.
Title: PRESIDENT
Phone: (303) 772-3611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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