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Organization
B.W. JOHNSON ANESTHESIA, INC.
Active
Organization
B.W. JOHNSON ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE W. JOHNSON M.D. (PRESIDENT/SOLE OWNER)
(480) 507-2961
Entity
Organization
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 372-1933
Mailing address
PO BOX 1847, GILBERT, AZ 85299-1847
(480) 507-2961
(480) 507-2971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6919190-1204/8904
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841453362
—
UT
Enumeration date
07/03/2008
Last updated
03/07/2023
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