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Contact Information

STEPHEN M JOHNSON
1010 THREE SPRINGS BLVD
DURANGO, CO81301
 Phone: 303-306-7783
 Fax: 303-306-7753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEPHEN M JOHNSON · (Male)

NPI Number 1326134875
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2006
Last updated 03/21/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR0025637
  • CO Medicaid 64607038
  • NM Medicaid K5526
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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