Search › Utah › 363A00000X
Anthony Johnson, PA-C
NPI 1407105547 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1094 S Blair St
Salt Lake City, UT 84111 - Phone
- (702) 885-6791
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- OR, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-13
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