Tye Frank Johnson, PA

NPI #1467955526 in Salem, Utah

Provider Information

NPI Number: 1467955526
Entity Type: Individual
Name: Tye Frank Johnson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 15, 2018
Last Updated: Nov 27, 2023

Practice Location

Address: 555 W SR 164
City: Salem
State: Utah
ZIP Code: 84653
Phone: (801) 465-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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