Individual
BRIAN LEIF JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, ROOM 4C116, SALT LAKE CITY, UT 84132-0002
(801) 585-5559
Mailing address
30 N 1900 E, ROOM 4C116, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10534819-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
10/21/2021
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