Individual
GEORGE BRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 N 1100 E, SUITE A, AMERICAN FORK, UT 84003-2054
(801) 855-3843
(801) 855-3854
Mailing address
226 N 1100 E, SUITE A, AMERICAN FORK, UT 84003-2054
(801) 855-3843
(801) 855-3854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1583051205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05172
—
UT
Enumeration date
08/25/2006
Last updated
04/11/2008
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