GARY BLAKE JOHNSON MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1144223827- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 24 S 1100 E STE 105, SALT LAKE CITY, UT, 841021593
- Phone
- (801) 965-3600
Specialties & Taxonomies
Specialist
License: UT #5860718-1205
Urology
Primary License: UT #5860718-1205