person
Kathryn Mandelbaum Johnson, PA-C
Medical Physician Assistant in Boulder, Colorado
NPI 1205911328

Kathryn Mandelbaum Johnson is a Medical Physician Assistant based in Boulder, CO and is specialized in Medical. Kathryn Mandelbaum Johnson practices in Boulder, CO and has the professional credentials of PA-C. The NPI Number for Kathryn Mandelbaum Johnson is 1205911328 and holds a License No. 3470 (Colorado).

The current practice location address for Kathryn Mandelbaum Johnson is 2575 Spruce St, Boulder, CO and can be reached out via phone at 303-449-3594 and via fax at 303-449-3112.

Location: 2575 Spruce St, Boulder, CO, 80304-3972
person
Provider Profile Details
NPI Number
1205911328
Provider Name
Kathryn Mandelbaum Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2575 Spruce St, Boulder, CO, 80304-3972
Phone Number
303-449-3594
Fax Number
303-449-3112
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2575 Spruce St
City
State
Zip
80302-3806
Phone Number
303-449-3594
Fax Number
303-449-3112
person
Provider Business Mailing Address Details
Address
2575 Spruce St
City
State
Zip
80302-3806
Phone Number
303-449-3594
Fax Number
303-449-3112
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
3470 (Colorado)
Definition
Definition to come...
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