Organization
ERIC C. JOHNSTON MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC C JOHNSTON MD (CORPORATE PRESIDENT)
(801) 295-7200
Entity
Organization
Contact information
Practice address
1551 RENAISSANCE TOWNE DR, SUITE 400, BOUNTIFUL, UT 84010-7667
(801) 295-7200
(801) 295-4930
Mailing address
1551 RENAISSANCE TOWNE DR, SUITE 400, BOUNTIFUL, UT 84010-7667
(801) 295-7200
(801) 295-4930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
321929-1205
UT
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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