Individual
DR. VANCE BRADLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604
(801) 357-7850
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10422353-1205
UT
207L00000X
Anesthesiology Physician
58366
MN
Other
Enumeration date
05/27/2014
Last updated
04/27/2021
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