Individual
MR. ADAM DUANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
520 MEDICAL DR STE 301, BOUNTIFUL, UT 84010-8927
(801) 292-1464
Mailing address
520 MEDICAL DR STE 301, BOUNTIFUL, UT 84010-8927
(801) 292-1464
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6595846-4408
UT
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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