Individual
LUKE S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 E 6100 S, MURRAY, UT 84107-7302
(801) 581-2955
Mailing address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-2955
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10738970-1205
UT
207N00000X
Dermatology Physician
MD182703
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2013
Last updated
06/23/2022
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