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Individual

TOBY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 N 500 W STE 207, PROVO, UT 84604-3305
(801) 373-7350
(801) 429-8085
Mailing address
1055 N 500 W, ATT CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12294965-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0196688
STATE OF WASHINGTON
CA
01
P00276609
RAILROAD MEDICARE
CA
Enumeration date
11/22/2005
Last updated
07/22/2024
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