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David Michael Johnson
Medical Physician Assistant in Highland, Utah
NPI 1891375416

David Michael Johnson is a Medical Physician Assistant based in Highland, UT and is specialized in Medical. David Michael Johnson practices in Highland, UT. The NPI Number for David Michael Johnson is 1891375416 and holds a License No. 12423884-8906 (Utah).

The current practice location address for David Michael Johnson is 11578 N Broadleaf Hollow Ln, Highland, UT and can be reached out via phone at 208-577-8820.

Location: 11578 N Broadleaf Hollow Ln, Highland, UT, 84003-5633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891375416
Provider Name
David Michael Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
11578 N Broadleaf Hollow Ln, Highland, UT, 84003-5633
Phone Number
208-577-8820
Fax Number
Provider Enumeration Date
04/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11578 N Broadleaf Hollow Ln
City
Highland
State
Utah
Zip
84003-5633
Phone Number
208-577-8820
Fax Number
person
Provider Business Mailing Address Details
Address
11578 N Broadleaf Hollow Ln
City
Highland
State
Utah
Zip
84003-5633
Phone Number
208-577-8820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
12423884-8906 (Utah)
Definition
Definition to come...
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