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Ryan Johansen
NPI 1912128513 · on the registry since 2007
Practice
- Address
- 3179 N Canyon Rd
Provo, UT 84604 - Phone
- (801) 377-2002
- Fax
- (801) 377-2007
- Organisation at this address
- Canyon Pharmaceutical, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-28
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