Individual
DR. JUSTIN RODNEY JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 E 3300 S STE 202, SALT LAKE CITY, UT 84109-2737
(801) 807-8811
(801) 769-0904
Mailing address
2505 E 3300 S STE 202, SALT LAKE CITY, UT 84109-2737
(801) 807-8811
(801) 769-0904
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
6139294-1205
UT
Other
Enumeration date
08/05/2006
Last updated
03/20/2025
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