Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | DR.0056868 | CO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | DR.0056868 | CO |
NPI | 1073748653 |
---|---|
Provider Name | Dr. Patrick Bobryk Johnston |
First Address | Steamboat Springs, CO 80487-1841 |
Second Address | Steamboat Springs, CO 80487-1838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 07/02/2022 |