Individual
EMILY RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5444 S GREEN ST, MURRAY, UT 84123
(801) 313-4118
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10952118-1205
UT
Other
Enumeration date
04/30/2012
Last updated
09/10/2019
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