Individual
MS. JOHANNA E GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 MILLPOND, #100, STANSBURY PARK, UT 84074-9745
(435) 843-3000
(435) 843-3015
Mailing address
220 MILLPOND, #100, STANSBURY PARK, UT 84074-9745
(435) 843-3000
(435) 843-3015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6718628-1206
UT
Other
Enumeration date
09/12/2007
Last updated
11/02/2021
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