Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
(801) 295-7200
(801) 295-4930
Mailing address
1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 84010-7676
(801) 295-7200
(801) 295-4930
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11701072
UT
207X00000X
Orthopaedic Surgery Physician
71214
WI
Other
Enumeration date
04/10/2014
Last updated
04/04/2022
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