Individual
ERIC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, SALT LAKE CITY, UT 84132-0001
(702) 370-9273
Mailing address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1649665399
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649665399
—
UT
Enumeration date
03/31/2015
Last updated
07/02/2021
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