Individual
ERIC B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
698 12TH ST, OGDEN, UT 84404-6200
(801) 475-3700
(801) 475-3701
Mailing address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3000
(801) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3115451206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841289600
—
UT
Enumeration date
10/14/2005
Last updated
05/04/2021
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