Individual
DR. MICHAEL DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 HARRISON BLVD STE 1885, OGDEN, UT 84403-3195
(801) 387-4870
Mailing address
4401 HARRISON BLVD STE 1885, OGDEN, UT 84403-3195
(801) 387-4870
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
DO3026
ME
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2016
Last updated
10/06/2022
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