STAFFAN C JOHNSSON

PROVO, UT
NPI1710071493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  78-163256-1205)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- STAFFAN C JOHNSSON MD
1034 N 500 W
PROVO, UT 84604
Phone number: 801-993-9582
Mailing Address
-- STAFFAN C JOHNSSON MD
2975 W EXECUTIVE PKWY 200
LEHI, UT 84043
Phone number: 801-990-1911