SearchColorado363A00000X

Daniel Johnson, PA

NPI 1811583784 · on the registry since 2020

Practice

Address
1795 Jet Wing Dr
Colorado Springs, CO 80916
Phone
(719) 572-6100
Fax
(719) 572-6186
Organisation at this address
Diversus Health Inc
Diversus Health Inc
Diversus Health Inc
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Additional practice sites

  • 2221 Wellness Way, Lamar, CO
  • 201 Kendall Dr, Lamar, CO

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-12

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