NPI 1013102979

Johanna E Greenberg, PAC

Practitioner Physician Assistant Stansbury Park, UT

Practice location

Address: 220 Millpond #100, Stansbury Park, UT 84074-9745
Phone: (435) 843-3000
Fax: (435) 843-3015

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 6718628-1206 (UT)

Other Physician Assistant providers in Utah →

Registry record

NPI: 1013102979
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2007
Record last updated: 2 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.