| Doctor Name: | MR. PHIL H JOHNSON |
| NPI Number: | 1437323516 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 204952-4405 |
| Business Practice Address: | 3485 W 5200 S Roy, UT - 840679438 |
| Business Phone Number: | 8014753900 |
| Business Fax Number: | 8014753901 |
| Mailing Address: | 4650 Harrison Blvd, OGDEN |
| State: | UT |
| Postal Code: | 844034303 |
| Phone Number: | 8014753000 |
| Fax Number: | 8014753414 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 204952-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |