Individual
TODD W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N HOSPITAL DR, PRICE, UT 84501-4218
(800) 748-4868
(801) 733-5872
Mailing address
PO BOX 765, PRICE, UT 84501-0765
(435) 613-1333
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
360756-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107003518102
IHC
UT
01
—
2000575
UNITED HEALTHCARE
UT
01
—
38891
HEALTHY U
UT
01
—
65785
PEHP
UT
01
—
683628
DESERET MUTUAL
UT
01
—
QM0000076612
ALTIUS
UT
01
—
TPRA10930
MOLINA
UT
Enumeration date
09/14/2006
Last updated
07/08/2007
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