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NPI Code Detail

MEDICARE: DAVID STERLING JOHNSON M.D.

MEDICARE: DAVID STERLING JOHNSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician262144-1205UT

General Provider Information

NPI Number : 1316985542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID STERLING JOHNSON M.D.
Provider Business Mailing Address
First Line : 198 SEQUOIA CIR
Second Line :
City : ALPINE
State : UT
Zip : 84004-1892
Country : US
Telephone Number : 801-492-1999
Fax Number : 801-492-1991
Provider Business Practice Location Address
First Line : 1912 W 930 N
Second Line :
City : PLEASANT GROVE
State : UT
Zip : 84062-4104
Country : US
Telephone Number : 801-492-1999
Fax Number : 801-492-1991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/09/2017

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