| Staffan C Johnsson, MD | |
|
1034 N 500 W, Provo, UT 84604 | |
| (801) 993-9582 | |
| (801) 733-5618 |
| Full Name | Staffan C Johnsson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1034 N 500 W, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710071493 | NPI | - | NPPES |
| 36023 | Other | UT | DESERET MUTUAL |
| 107006658101 | Other | UT | IHC |
| 1502954 | Other | UT | UMWA |
| 870545614JO1 | Other | UT | EDUCATORS MUTUAL |
| QM0000075886 | Other | UT | ALTIUS |
| 37797 | Other | UT | PEHP |
| PRA04852 | Other | UT | MOLINA |
| 2090168 | Other | UT | UNITED HEALTHCARE |
| 53247 | Other | UT | HEALTHY U |
| 708753 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 78-163256-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Staffan C Johnsson, MD 2975 W Executive Pkwy, 200, Lehi, UT 84043 Ph: (801) 990-1911 | Staffan C Johnsson, MD 1034 N 500 W, Provo, UT 84604 Ph: (801) 993-9582 |
Dr. Daniel Rey Faber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, #200, Provo, UT 84604 Phone: 801-223-4860 Fax: 801-371-8993 | |
John B Zimmerman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
David Groesbeck, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Carl Thayne Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 Phone: 801-507-5248 Fax: 801-733-5618 | |
Jeffrey David Poulsen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Mr. Matthew David Wagaman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 Fax: 770-701-6675 | |
Mitchell D Albrecht, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84004 Phone: 801-993-9582 Fax: 801-733-5618 |