Organization
COREY B JOHNSON MD PC
Active
Other names
cache vein care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY B JOHNSON MD (PRESIDENT)
(435) 753-2842
Entity
Organization
Contact information
Practice address
1219 N 400 E, LOGAN, UT 84341-2321
(435) 753-2842
Mailing address
1219 N 400 E, LOGAN, UT 84341-2321
(435) 753-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1848241205
UT
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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