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Individual
ROBERT DERREL JOHNSTUN
Active
Individual
ROBERT DERREL JOHNSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
8508793-4405
UT
363L00000X
Nurse Practitioner
Primary
8508793-4405
UT
Other
Enumeration date
08/06/2019
Last updated
02/10/2022
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