DR. Dale S. Johnson, M.D.

NPI #1235189143 in Longmont, Colorado

Provider Information

NPI Number: 1235189143
Entity Type: Individual
Name: DR. Dale S. Johnson, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: M.D.
Enumeration Date: May 11, 2006
Last Updated: Jun 24, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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