MICAH JOHNSON

PUEBLO, CO
NPI1326469248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  0003846)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
-- MICAH JOHNSON
1600 N GRAND AVE SUITE 508
PUEBLO, CO 81003-2700
Phone number: 719-595-7040
Mailing Address
-- MICAH JOHNSON
1600 N GRAND AVE SUITE 508
PUEBLO, CO 81003-2700
Phone number: 719-595-7040
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