SearchColorado1223G0001X

Mary Johnson, D.M.D

NPI 1003286055 · on the registry since 2015 · sole proprietor

Practice

Address
320 Comanche St.
Kiowa, CO 80117
Phone
(720) 389-9763
Organisation at this address
Plains Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
122300000X
Licence states on file
CO, GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado