Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 30659 | CO |
NPI | 1043377740 |
---|---|
Provider Name | Dr. Janis Louise Johnson |
First Address | Denver, CO 80218-1229 |
Second Address | Denver, CO 80218-1229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306596 | (05) | CO |
R53890 | (02) | CO |