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Individual

OSCAR C JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA -C

Contact information

Practice address
3584 WEST 9000 SOUTH, #405, WEST JORDAN, UT 84088
(801) 601-2822
(801) 562-3169
Mailing address
174 ROLLING HILLS DR, CENTERVILLE, UT 84014-3103
(801) 913-1298
(801) 299-1050

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101275-1206
UT

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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