| Bruce Michael Johnson, MD | |
|
1600 N Grand Ave, Ste 510, Pueblo, CO 81003-2700 | |
| (719) 566-3535 | |
| (719) 566-3565 |
| Full Name | Bruce Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1600 N Grand Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538183793 | NPI | - | NPPES |
| 01260199 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 20619 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Michael Johnson, MD 1600 N Grand Ave, Ste 510, Pueblo, CO 81003-2700 Ph: (719) 566-3535 | Bruce Michael Johnson, MD 1600 N Grand Ave, Ste 510, Pueblo, CO 81003-2700 Ph: (719) 566-3535 |
Dr. Paul Raymond Radway, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3506 San Jose Ct, Pueblo, CO 81005 Phone: 719-252-6467 | |
Michael Lee King, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Ste 510, Pueblo, CO 81003 Phone: 719-566-3535 Fax: 719-566-3565 | |
Dr. Rina K. Shinn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947 | |
Dr. Lonnie L Imlay, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1925 E. Orman Ave., Suite A109, Pueblo, CO 81004 Phone: 719-564-0210 Fax: 719-564-9483 | |
Priscilla Nobecourt, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 430, Pueblo, CO 81003 Phone: 719-545-8240 | |
Philip Charles Marin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1304 N Grand Ave, Pueblo, CO 81003 Phone: 719-669-8487 Fax: 719-669-8488 | |
Neil A Banga, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave, Suite 430, Pueblo, CO 81003 Phone: 719-545-8240 |