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Blake Johnson, MPAS, PA-C — NPI 1851036214, Denver, CO | NPI Central

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NPI 1851036214

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Blake Johnson, MPAS, PA-C

NPI 1851036214 · Surgical Physician Assistant · Denver, CO

Provider details

NPI number: 1851036214
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: MPAS, PA-C
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

777 Bannock St

Denver, CO 80204-4507

Phone: (303) 436-6000

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

475 N Redwood Rd Unit 16

Salt Lake City, UT 84116-3565

Additional practice locations (1)

475 N Redwood Rd Unit 16
Salt Lake City, UT 84116-3565
Phone: (801) 584-9449

Registry dates

Enumerated: 2022-04-30
Last updated: 2024-09-11
Certified: 2024-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.