Carol P Johnson, PA-C

NPI #1205802766 in Salida, Colorado

Provider Information

NPI Number: 1205802766
Entity Type: Individual
Name: Carol P Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 24, 2006
Last Updated: Jan 28, 2021

Practice Location

Address: 1000 RUSH DR
City: Salida
State: Colorado
ZIP Code: 81201-9627
Phone: (719) 530-2048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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