Andrew Mark Johanos
Emergency Medicine in Longmont, CO. Individual provider (NPI-1).
NPI number1891771309
StatusActive
Last updated in NPPESFeb 28, 2014
Details
- NPI
- 1891771309
- Entity type
- Individual (NPI-1)
- Name
- Andrew Mark Johanos
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2005
- Last updated
- Feb 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 30964 | CO | Yes |
Other names
- Andrew M Johanos (Professional Name)
Practice location
1950 Mountain View AveLongmont, CO 80501-3129
Phone 303-306-7783 · Fax 303-306-7753
Mailing address
Po Box 1175Englewood, CO 80150-1175
Phone 303-306-7783 · Fax 303-306-7753
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