David Johansen M.D.

NPI 1114248465 - Internal Medicine - 207R00000X

NPI Details
NPI 1114248465
Gender Male
Enumeration Date 06/21/2010
Last Updated 12/09/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
607 28 1/4 RD
GRAND JUNCTION CO, 81506-6023, US
Phone (970) 243-3300
Fax (970) 243-4464
Business Location
PO BOX 1687
GRAND JUNCTION CO, 81502-1687, US
Phone (970) 256-6322
Fax (970) 243-4464
Toxanomy
Taxonomy Code 207R00000X
License State Colorado
License Number 52217
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According to our database, David Johansen M.D. NPI is 1114248465, taxonomy code is 207R00000X and license number is 52217, license state is located at Colorado. David Johansen M.D. physically located at 607 28 1/4 Rd, Grand Junction CO, 81506-6023. NPI Number David Johansen M.D. has the Individual type.

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1114248465 NPI number is provided on an as is basis without warranty of any kind. 1114248465 is maintained by the National Plan & Provider Enumeration System. The contents of David Johansen M.D. are for informational purposes only.