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1285692400
JEFFREY W JOHNSON
PROVO, UT
NPI
1285692400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 1716591205)
Enumeration Date
2006-05-04
Last Update Date
2023-11-27
Business Address
JEFFREY W JOHNSON MD
1055 N 500 W STE 212
PROVO, UT 84604-3305
Phone number: 801-374-2362
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Mailing Address
JEFFREY W JOHNSON MD
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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