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Cody Johnson
NPI 1881904613 · on the registry since 2010 · sole proprietor
Practice
- Address
- Trailtalk
3585 N University Ave. Ste 250
Provo, UT 84604 - Phone
- (435) 513-2715
Additional practice sites
- 13073 Wheatfield Way, Draper, UT
- 11457 S 700 W, Draper, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah