Derek Brent Johnson in Park City - Student In An Organized Health Care Education/training Program
Derek Brent Johnson - NPI 1962605857
Derek Brent Johnson is a Student In An Organized Health Care Education/training Program in Park City, Utah. Derek Brent Johnson practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Derek Brent Johnson is 1962605857. The last update date is 2012-01-09.
Derek Brent Johnson's current location address is 3136 Lower Saddleback Rd, Park City, Utah. You can contact this provider via phone number 8017077423. The mailing address for Derek Brent Johnson is 3136 Lower Saddleback Rd, Park City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Brent Johnson |
|---|---|
| Address | 3136 Lower Saddleback Rd, Park City, Utah |
| Phone Number | 8017077423 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1962605857 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2012-01-09 |
Provider Mailing Address Detail
| Address | 3136 Lower Saddleback Rd |
|---|---|
| City | Park City |
| State | Utah (UT) |
| Post Code | 840984829 |
| Phone Number | 8017077423 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
| Licence No | 2006018684 |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
|
Post Comment/ Review Below
What is the Derek Brent Johnson's 1962605857?
The Derek Brent Johnson's NPI (National Provider Identifier) Number is 1962605857. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Derek Brent Johnson is geographically located?
The Derek Brent Johnson is physically situated at the following location: 3136 Lower Saddleback Rd, Park City, UT, 840984829.
What is Derek Brent Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Derek Brent Johnson's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962605857 to Derek Brent Johnson?
The Centers for Medicare & Medicaid Services assigned the 1962605857 to Derek Brent Johnson on 2007-06-07.
As of what date were the details related to Derek Brent Johnson most recently updated or revised?
The information pertaining to Derek Brent Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-09.
NPI Number: 1104829498
Address: 1416 Crown Drive, Kirksville, MO
NPI Number: 1275534794
Address: 5471 Dr Martin Luther King Dr, Saint Louis, MO