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Individual

JESSICA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
UNIVERSITY OF UTAH DEPARTMENT OF MEDICINE, 30 N 1900 E SOM RM 4C116, SALT LAKE CITY, UT 84132-0001
(801) 585-5559
(801) 585-0418
Mailing address
UNIVERSITY OF UTAH DEPARTMENT OF MEDICINE, 30 N 1900 E SOM RM 4C116, SALT LAKE CITY, UT 84132-0001
(801) 585-5559
(801) 585-0418

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10105798-1205
UT
207RI0200X
Infectious Disease Physician
Primary
10105798-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/20/2015
Last updated
10/21/2021
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