Individual
DR. CARRIE LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, DEPARTMENT OF PEDIATRICS RESIDENCY PROGRAM, SALT LAKE CITY, UT 84113-1103
(801) 662-5700
(801) 662-5755
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39
UT
Other
Enumeration date
04/28/2011
Last updated
08/04/2021
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