Leland M Johnston Md Pc

NPI 1225215825 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1225215825
Enumeration Date 01/25/2008
Last Updated 01/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LELAND M LELAND
Position PRESIDENT
Phone (720) 565-1422
Fax (866) 849-7805
Practice Location
1740 SUMAC AVE
BOULDER CO, 80304-0814, US
Phone (720) 565-1422
Fax (866) 849-7805
Business Location
1740 SUMAC AVE
BOULDER CO, 80304-0814, US
Phone (720) 565-1422
Fax (866) 849-7805
Toxanomy
Taxonomy Code 2084P0800X
License State Colorado
License Number 38458
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According to our database, Leland M Johnston Md Pc NPI is 1225215825, taxonomy code is 2084P0800X and license number is 38458, license state is located at Colorado. Leland M Johnston Md Pc physically located at 1740 Sumac Ave, Boulder CO, 80304-0814. NPI Number 1033115704 has the healthcare provider type.

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1225215825 NPI number is provided on an as is basis without warranty of any kind. 1225215825 is maintained by the National Plan & Provider Enumeration System. The contents of Leland M Johnston Md Pc are for informational purposes only.