Organization
MARK ROLFE JOHNSON MD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R JOHNSON MD (PROVIDER)
(801) 631-8210
Entity
Organization
Contact information
Practice address
1899 E SIESTA DR, COTTONWOOD HEIGHTS, UT 84093-6241
(801) 631-8210
(801) 446-1474
Mailing address
1899 E SIESTA DR, COTTONWOOD HEIGHTS, UT 84093-6241
(801) 631-8210
(801) 446-1474
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
184901-1205
UT
314000000X
Skilled Nursing Facility
Primary
184901-1205
UT
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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