Individual
BRODY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
170 E ALTAMIRA DR, CEDAR CITY, UT 84720-3509
(435) 586-0213
(435) 865-9428
Mailing address
474 W 200 N, STE #300, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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