Individual
MATTHEW ADAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
500 FOOTHILL DR BLDG 5, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
1240 E 250 S, BOUNTIFUL, UT 84010-1835
(801) 949-6732
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
12341457-4901
UT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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