Individual
MARK A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
419 WAKARA WAY, #200, SALT LAKE CITY, UT 84108-1257
(801) 583-1781
Mailing address
555 E 4500 S, C-150, SALT LAKE CITY, UT 84107-4533
(801) 288-0747
(801) 288-0761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
185388-1205
UT
Other
Enumeration date
03/13/2007
Last updated
03/04/2009
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