Individual
BRANDON BRUCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
3085 OAKWOOD DR, BOUNTIFUL, UT 84010-4439
(801) 946-7400
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
5387619-5401
UT
2471C3401X
Computed Tomography Radiologic Technologist
5387619-5401
UT
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
5387619-5401
UT
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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