Individual
MATTHEW B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3730 W 4700 S, WEST VALLEY CITY, UT 84129
(801) 213-9200
Mailing address
11966 S 2740 W, RIVERTON, UT 84065-7617
(801) 878-7056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5628325-1205
UT
Other
Enumeration date
08/13/2006
Last updated
10/21/2021
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