Individual
MR. PHIL H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3485 W 5200 S, ROY, UT 84067-9438
(801) 475-3900
(801) 475-3901
Mailing address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3000
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
204952-4405
UT
Other
Enumeration date
04/18/2008
Last updated
03/07/2013
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