Organization
TWIN PEAKS MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D JOHNSON MD (OWNER)
(801) 879-4982
Entity
Organization
Contact information
Practice address
5117 W 8180 S, WEST JORDAN, UT 84081-5922
(801) 879-4982
(801) 446-1474
Mailing address
PO BOX 71043, SALT LAKE CITY, UT 84171-0043
(801) 879-4982
(801) 446-1474
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
268117-0501
UT
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/08/2007
Last updated
07/29/2012
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