| Doctor Name: | ERIC C JOHNSON |
| NPI Number: | 1265466890 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CFNP |
| License Number: | 112651 |
| Business Practice Address: | 500 W. Pacific Ave Telluride, CO - 814351229 |
| Business Phone Number: | 9707283848 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1229, 500 W. Pacific Ave TELLURIDE |
| State: | CO |
| Postal Code: | 814351229 |
| Phone Number: | 9707283848 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 01/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 112651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |