Search › Utah › 225100000X
Clark Johnson
NPI 1407124910 · on the registry since 2011
Practice
- Address
- 258 S Main St Ste 210
Logan, UT 84321 - Phone
- (435) 383-6120
- Fax
- (435) 557-8003
- Organisation at this address
- Integrity Bc Inc
Atlas Medical Aco Llc
Atlas Medical Utah Llc
Integrity Hospice, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 990 Medical Dr Ste U4, Brigham City, UT
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X
225100000X
225100000X - Licence states on file
- AZ, CA, OR, MA, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-09
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