| Leland M Johnston Md Pc | |
|
1740 Sumac Ave Boulder CO 80304-0814 | |
| (720) 565-1422 | |
| (866) 849-7805 |
| Full Name | Leland M Johnston Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1740 Sumac Ave, Boulder, Colorado |
| Authorized Official Name and Position | Leland M Johnston (PRESIDENT) |
| Authorized Official Contact | 7205651422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leland M Johnston Md Pc 1740 Sumac Ave Boulder CO 80304-0814 Ph: (720) 565-1422 | Leland M Johnston Md Pc 1740 Sumac Ave Boulder CO 80304-0814 Ph: (720) 565-1422 |
| NPI Number | 1225215825 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 01/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225215825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 38458 (Colorado) | Primary |
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