Organization
GLEN E JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN E JOHNSON MD (OWNER)
(801) 966-3700
Entity
Organization
Contact information
Practice address
3940 W 4100 S, WEST VALLEY CITY, UT 84120-5450
(801) 966-3700
(801) 966-9421
Mailing address
555 E 4500 S STE C150, SALT LAKE CITY, UT 84107-4507
(801) 288-0747
(801) 288-0761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
154764-1205
UT
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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