Oscar C Johnson, PA -C

NPI #1487874608 in West Jordan, Utah

Provider Information

NPI Number: 1487874608
Entity Type: Individual
Name: Oscar C Johnson, PA -C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA -C
Enumeration Date: Apr 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3584 WEST 9000 SOUTH
Address 2: #405
City: West Jordan
State: Utah
ZIP Code: 84088
Phone: (801) 601-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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