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Contact Information

DOUG JOHNSON MD PC
36 OAK STREET
BUENA VISTA, CO81211
 Phone: 719-395-8632
 Fax: 719-395-4971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DOUG JOHNSON MD PC

NPI # 1184741837
LBN Legal business name DOUG JOHNSON MD PC
Authorized official DOUGLAS JOHNSON - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2007
Last updated 01/29/2009 - About 17 years ago
Identifiers
CO License # 35510
CO Medicaid 04016812
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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