Individual
CLINTON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
350 S 400 E, BOUNTIFUL, UT 84010-4932
(385) 399-7800
(385) 399-7799
Mailing address
8372 S BELLINGHAM DR APT A213, SANDY, UT 84070-2185
(801) 309-0603
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11297720-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2015
Last updated
06/17/2019
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