Geoffrey Eric Johnson, MD | |
1008 Minnequa Ave, Pueblo, CO 81004-3733 | |
(719) 557-5460 | |
Not Available |
Full Name | Geoffrey Eric Johnson |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 1008 Minnequa Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093985251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | DR 46368 (Colorado) | Primary |
Entity Name | Advanced Urology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932936192 PECOS PAC ID: 2365346558 Enrollment ID: O20031120000238 |
Mailing Address | Practice Location Address |
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Geoffrey Eric Johnson, MD 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 557-5460 | Geoffrey Eric Johnson, MD 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 557-5460 |
Dr. Michael J Mccollum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-542-7891 | |
Krynn Louis Stegelmeier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Pueblo, CO 81003 Phone: 719-542-2167 | |
Lisa T Cramer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1619 N Greenwood St, Suite 103, Pueblo, CO 81003 Phone: 719-542-2167 Fax: 719-542-0320 | |
William J Bufkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 124 W Pitkin Ave, Pueblo, CO 81004 Phone: 719-584-7410 Fax: 719-542-7019 | |
Dr. Mark Fredric Abbott, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St Ste 103, Pueblo, CO 81003 Phone: 719-542-2167 | |
Gordon F Gibbs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk, Unit 200, Pueblo, CO 81003 Phone: 719-542-7891 |