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Troy Johnson, PAC
Surgical Physician Assistant in Park City, Utah
NPI 1730197252

Troy Johnson is a Surgical Physician Assistant based in Park City, UT and is specialized in Surgical. Troy Johnson practices in Park City, UT and has the professional credentials of PAC. The NPI Number for Troy Johnson is 1730197252 and holds a License No. 379295-1206 (Utah).

The current practice location address for Troy Johnson is 1820 Sidewinder Dr, Park City, UT and can be reached out via phone at 435-655-6600.

Location: 1820 Sidewinder Dr, Park City, UT, 84060-7492
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Provider Profile Details
NPI Number
1730197252
Provider Name
Troy Johnson
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1820 Sidewinder Dr, Park City, UT, 84060-7492
Phone Number
435-655-6600
Fax Number
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107033706101 01 UT SELECTHEALTH
80922 01 UT PUBLIC EMPLOYEES HEALTH P
841433992TRY 01 UT EDUCATORS MUTUAL
231831 01 UT ALTIUS HEALTH PLANS
institution
Provider Business Practice Location Address Details
Address
1820 Sidewinder Dr
City
State
Zip
84060-7492
Phone Number
435-655-6600
Fax Number
person
Provider Business Mailing Address Details
Address
1820 Sidewinder Dr
City
State
Zip
84060-7492
Phone Number
435-655-6600
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
379295-1206 (Utah)
Definition
Definition to come...
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