Individual
DR. NICHOLAS E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 N MEDICAL DR E, SALT LAKE CITY, UT 84132-5901
(801) 585-7575
Mailing address
PO BOX 413027, SALT LAKE CITY, UT 84141-3027
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
8549757-1205
UT
Other
Enumeration date
05/10/2007
Last updated
11/27/2013
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