SearchUtah363AM0700X

David Johnson

NPI 1891375416 · on the registry since 2021

Practice

Address
11578 N Broadleaf Hollow Ln
Highland, UT 84003
Phone
(208) 577-8820

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-22

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