Individual
DR. WAYNE THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
70 S FAIRFIELD RD, SUITE 7, LAYTON, UT 84041-5111
(801) 444-1002
(801) 444-0170
Mailing address
70 S FAIRFIELD RD, SUITE 7, LAYTON, UT 84041-5111
(801) 444-1002
(801) 444-0170
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
95-288007-1202
UT
Other
Enumeration date
11/10/2005
Last updated
06/25/2008
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