Individual
SHERI LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3160
(801) 475-3161
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
(801) 475-3489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12474465-1206
UT
Other
Enumeration date
06/15/2020
Last updated
12/23/2021
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