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Individual

GREGORY WALLACE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RT

Contact information

Practice address
769 W 1900 S, WOODS CROSS, UT 84087-1720
(801) 706-8132
Mailing address
769 W 1900 S, WOODS CROSS, UT 84087-1720
(801) 706-8132

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
380908-5401
UT

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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