Individual
DR. VAUGHN THAD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7100
(801) 375-7102
Mailing address
3650 N UNIVERSITY AVE STE 200, PROVO, UT 84604-6658
(801) 375-7100
(801) 375-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9531048-1204
UT
Other
Enumeration date
10/19/2006
Last updated
09/17/2009
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