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Contact Information

ALLEN C JOHNSON, MD
1034 NORTH 500 WEST
UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT84604
 Phone: 801-507-5248
 Fax: 801-733-5618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ALLEN C JOHNSON · (Male)

NPI # 1376637827
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 78-162765-1205
  • AZ Medicaid 820656
  • ID Medicaid 806156900
  • NV Medicaid 002082286
  • WY Medicaid 118887900
  • UT Other QM0000075886 ALTIUS
  • UT Other 35800 DESERET MUTUAL
  • UT Other 870545614JO2 EDUCATORS MUTUAL
  • UT Other 53248 HEALTHY U
  • UT Other 107006656101 IHC
  • UT Other PRA01603 MOLINA
  • UT Other 37795 PEHP
  • UT Other 1502954 UMWA
  • UT Other 2090168 UNITED HEALTHCARE
  • UT Other 8597445 WORKERS COMP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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