Individual
JULIA JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1525 EAST 6000 SOUTH, SOUTH OGDEN, UT 84405
(801) 337-5800
(801) 337-5809
Mailing address
1525 EAST 6000 SOUTH, SOUTH OGDEN, UT 84405
(801) 337-5800
(801) 337-5809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1734041205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119275200
—
WY
01
—
52923681200001
BCBS
UT
05
—
D5336
—
UT
01
—
P00143679
MEDICARE RAILROAD
UT
Enumeration date
07/25/2006
Last updated
08/06/2009
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