Organization
UTAH UROLOGY WORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BLAKE JOHNSON (AUTHORIZED OFFICIAL)
(801) 842-5794
Entity
Organization
Contact information
Practice address
348 E 4500 S STE 200, MURRAY, UT 84107-8509
(801) 993-1800
Mailing address
348 E 4500 S STE 200, MURRAY, UT 84107-8509
(801) 993-1800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
11/11/2025
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