Johnny Blackmon

NPI #1346002482 in Clearfield, Utah

Provider Information

NPI Number: 1346002482
Entity Type: Individual
Name: Johnny Blackmon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 24, 2024
Last Updated: Jan 24, 2024

Practice Location

Address: 1550 S 1000 E
City: Clearfield
State: Utah
ZIP Code: 84015-1646
Phone: (385) 456-6275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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