David Michael Johnson
David Michael Johnson is a Medical Physician Assistant in Highland, Utah. Licensed in Utah. Registered with an NPI since 2021.
- Licensed in
- UT
- In the registry since
- 2021
Practice location Address checks out
11578 N Broadleaf Hollow LnHighland, UT 84003-5633
Phone: (208) 577-8820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 12423884-8906 (UT) |
|---|
Record details
| NPI number | 1891375416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 4, 2021 |
| Mailing address | 11578 N Broadleaf Hollow Ln, Highland, UT 84003-5633 |
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