| 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 |
Sara Catherine Mckeever, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1401 Court St, Pueblo, CO 81003 Phone: 719-562-2300 |
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 |
Hubert T. Servis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947 |
Clifford L. Hoyle, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4947 |