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Individual

BRUCE R. JOHNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
246 E 1260 N, LOGAN, UT 84341
(435) 750-6300
(435) 753-8995
Mailing address
246 E 1260 N, P.O. BOX 6244, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
113318-2501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107005537101
SELECT HEALTH INSURANCES
UT
01
20965
DMBA INSURANCE
UT
01
43398
PEHP INSURANCES
UT
01
870621744JO2
EMIA INSURANCES
UT
Enumeration date
08/15/2006
Last updated
02/14/2012
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