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Gary Blake Johnson

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NPI Number Detailed Information

Provider Information:

Name: Gary Blake Johnson
Gender: M
Provider License Number If Given: 5860718-1205

NPI Information:

NPI: 1144223827
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/24/2005

Last Update Date: 3/14/2017

Provider Business Mailing Address:

Address: 1060 E 100 S STE 110
Salt Lake City, UT 84102
Phone Number: 8015319453
Fax Number: 8015319467

Provider Business Practice Location Address:

Address: 1060 E 100 S STE 110
Salt Lake City, UT 84102
Phone Number: 8015319453
Fax Number: 8015319467

Provider Taxonomy:

Primary: 174400000X
Secondary (if any): 208800000X
State: UT

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About Gary Blake Johnson

Gary Blake Johnson ( GARY BLAKE JOHNSON ) is An Specialist Physician in Salt Lake City, UT. The NPI Number for Gary Blake Johnson is 1144223827.
The current location address for Gary Blake Johnson is 1060 E 100 S STE 110 Salt Lake City, UT 84102 and the contact number is 8015319453 and fax number is 8015319467. The mailing address for Gary Blake Johnson is 1060 E 100 S STE 110 Salt Lake City, UT 84102- 8015319453 (mailing address contact number - 8015319453).
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider Business Location on Map

FAQs:

What is the NPI Number for Gary Blake Johnson ?


Answer: The NPI Number for Gary Blake Johnson is 1144223827

Where is Gary Blake Johnson located?


Answer: Gary Blake Johnson is located at 1060 E 100 S STE 110 Salt Lake City, UT 84102.

What is the specialty for Gary Blake Johnson ?


Answer: The Specialty of Gary Blake Johnson is An Specialist Physician.

Are there any online reviews for Gary Blake Johnson ?


Answer: Not yet!

Are there any other health care providers in Salt Lake City, UT?


Answer: Yes, there are given below...

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