| Mark R Johnson Md Pc | |
|
1899 E Siesta Dr Cottonwood Heights UT 84093-6241 | |
| (850) 163-1821 | |
| Not Available |
| Full Name | Mark R Johnson Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1899 E Siesta Dr, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Mark R Johnson (SOLE MEMBER) |
| Authorized Official Contact | 8016318210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Johnson Md Pc Po Box 307 Bountiful UT 84011-0307 Ph: (801) 294-6907 | Mark R Johnson Md Pc 1899 E Siesta Dr Cottonwood Heights UT 84093-6241 Ph: (850) 163-1821 |
| NPI Number | 1740661792 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740661792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 184901-1205 (Utah) | Primary |
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