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Matthew Johnson
NPI 1932534260 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2860 E 19500 N
Moroni, UT 84646 - Phone
- (435) 436-9029
- Organisation at this address
- Blue Hills Residential Treatment
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-05
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