Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0049751 | CO |
Y | 207P00000X | Emergency Physician | 11641159-1205 | UT |
N | 207P00000X | Emergency Physician | 148918 | NC |
NPI | 1013177328 |
---|---|
Provider Name | Dr. Christopher Nathan Johnson |
First Address | Spanish Fork, UT 84660-0010 |
Second Address | Provo, UT 84604-3380 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 10/04/2020 |