Individual
BRETT ALAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 N MAIN ST, EPHRAIM, UT 84627-1155
(435) 283-4076
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(735) 283-4076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
105310737-1204
UT
Other
Enumeration date
04/22/2013
Last updated
03/21/2019
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