Individual
MICHAEL TODD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2137 W 70 S, HURRICANE, UT 84737-2791
(435) 772-4145
Mailing address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
(435) 986-8700
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
327440-3102
UT
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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