Individual
ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TAXONOMY CODE
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(801) 664-1341
Mailing address
490 MARCUS CT # NA, MOAB, UT 84532-2139
(801) 664-1341
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A186424
CA
Other
Enumeration date
03/25/2020
Last updated
09/20/2024
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