Corey B Johnson MD PC

NPI #1114115763 in Logan, Utah

Provider Information

NPI Number: 1114115763
Entity Type: Organization
Organization Name: Corey B Johnson MD PC
Primary Specialty: Family Medicine
Enumeration Date: Oct 9, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 1219 N 400 E
City: Logan
State: Utah
ZIP Code: 84341-2321
Phone: (435) 753-2842

Authorized Official

Name: DR. COREY B JOHNSON, MD
Title: PRESIDENT
Phone: (435) 753-2842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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