Individual
TAYLOR HAP JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
395 W BULLDOG BLVD STE 205, PROVO, UT 84604-3328
(801) 714-5585
Mailing address
1871 E 1400 S, SPANISH FORK, UT 84660-6436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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