Individual
MRS. BRIANA DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4071 S 4000 W, WEST VALLEY CITY, UT 84120-4143
(801) 265-0103
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 954-7672
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6523
AZ
Other
Enumeration date
10/17/2016
Last updated
06/07/2024
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