Brock Robert Johanson, CRNA
NPI #1982289864 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1982289864
- Entity Type
- Individual
- Name
- Brock Robert Johanson, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Mar 12, 2021
- Last Updated
- Jan 31, 2025
Practice Location
- Address
- 6575 HARVEST LN
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9063
- Phone
- (208) 540-1691
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Anesthetist, Certified Registered |
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