Individual
DENNIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
100 MARIO CAPECCHI DR, DEPT. OF PATHOLOGY, SLC, UT 84113-1103
(801) 662-2170
Mailing address
600 WARREN RD APT 10-2F, ITHACA, NY 14850-1830
(203) 824-4813
Taxonomy
Speciality
Code
Description
License number
State
207SG0203X
Clinical Molecular Genetics Physician
Primary
033683
CT
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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