IndividualActive
Anthony Johnson
NPI 1396230116 · Dermatology Physician · Bountiful, UT
Provider details
- NPI number
- 1396230116
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 7283004-1206 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
460 S 200 W
Bountiful, UT 84010-7126
Phone: (801) 298-1514
Approximate (ZIP-level) locationGet directions
Mailing address
460 S 200 W
Bountiful, UT 84010-7126
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.