Tracy Jo Johnson, PA-C

NPI #1184709347 in Lone Tree, Colorado

Provider Information

NPI Number: 1184709347
Entity Type: Individual
Name: Tracy Jo Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 26, 2006
Last Updated: May 15, 2023

Practice Location

Address: 10535 PARK MEADOWS BLVD STE 102
City: Lone Tree
State: Colorado
ZIP Code: 80124-8456
Phone: (303) 695-6106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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