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Johnny Blackmon
NPI 1346002482 · on the registry since 2024
Practice
- Address
- 1550 S 1000 E
Clearfield, UT 84015 - Phone
- (385) 456-6275
- Organisation at this address
- Intelligent Children Underrated Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2024-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah