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Individual
ALLEN C JOHNSON
Active
Individual
ALLEN C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
78-162765-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002082286
—
NV
01
—
107006656101
IHC
UT
05
—
118887900
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
35800
DESERET MUTUAL
UT
01
—
37795
PEHP
UT
01
—
53248
HEALTHY U
UT
05
—
806156900
—
ID
05
—
820656
—
AZ
01
—
8597445
WORKERS COMP
UT
01
—
870545614JO2
EDUCATORS MUTUAL
UT
01
—
PRA01603
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/02/2006
Last updated
10/12/2012
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