ANTHONY DAVID JOHNSON

BOUNTIFUL, UT
NPI1396230116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: UT  7283004-1206)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: UT  7283004-1206)
Enumeration Date2018-06-25
Last Update Date2020-09-23
Business Address
ANTHONY DAVID JOHNSON
460 S 200 W
BOUNTIFUL, UT 84010-7126
Phone number: 801-298-1514
Mailing Address
ANTHONY DAVID JOHNSON
460 S 200 W
BOUNTIFUL, UT 84010-7126
Phone number: 801-298-1514