Individual
STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
12534 S CHEVAL CT, HERRIMAN, UT 84096-5694
(928) 446-6905
Mailing address
12534 S CHEVAL CT, HERRIMAN, UT 84096-5694
(928) 446-6905
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
111646
AZ
246ZC0007X
Surgical Assistant
111646
UT
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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