Whalio Doctors

NPI 1811903057

Mark Bernarr Johnson, MD

Practitioner Public Health & General Preventive Medicine Physician Golden, CO

Practice location

Address
1801 19th St, Golden, CO 80401-1709
Phone
(303) 271-5701
Fax
(303) 271-5702

Registered specialties (2)

Public Health & General Preventive Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence 23982 (CO)
Public Health & General Preventive Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083P0901X Licence G57609 (CA)

Registry record

NPI
1811903057
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.