Individual provider · Type 1 NPI

Samantha Van Dyke Johnson, MD

Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI number 1174330112 Active

Practice location

13001 E 17th Pl
Aurora, CO 80045-2570

Call (575) 218-5936 Map

Mailing address

282 Quari St
Aurora, CO 80011-8340

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTL.0010600 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174330112

Samantha Van Dyke Johnson, MD's National Provider Identifier is 1174330112, issued on Dec 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Apr 21, 2025.