| Doctor Name: | DOUGLAS C JOHNSON |
| NPI Number: | 1659453892 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 33922 |
| Business Practice Address: | 36 Oak Street Buena Vista, CO - 812113129 |
| Business Phone Number: | 7193958632 |
| Business Fax Number: | 7193954971 |
| Mailing Address: | Po Box 3129, BUENA VISTA |
| State: | CO |
| Postal Code: | 812113129 |
| Phone Number: | 7193955869 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 01/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 33922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |