Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 296076-1205 | UT |
NPI | 1205939089 |
---|---|
Provider Name | Curtis C Johnson |
First Address | Provo, UT 84604-3305 |
Second Address | Provo, UT 84604-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 22/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09-00166 | UTAH HEALTHCARE (01) | UT |
107007657102 | IHC (01) | UT |
200045126 | PALMETTO (01) | UT |
228569 | DMBA (01) | UT |
68079 | PEHP (01) | UT |
870281028000 | (05) | UT |
870281028CUR | EMIA (01) | UT |
E82099 | (02) | UT |
QM000056633 | ALTIUS (01) | UT |