TYE JOHNSON, PA

PA

Physician Assistant

NPI: 1467955526IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10701069-1206(UT)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2017

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Contact & Hours

Address: 555 W SR 164
SALEM, UT 84653
Phone: (801) 465-4896

Quick Facts

NPI: 1467955526
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 9

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