Organization
MARK R JOHNSON MD PC
Active
Parent organization
KADENCE TECHNOLOGY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KADENCE TECHNOLOGY, INC
Authorized official
MARK R JOHNSON MD (SOLE MEMBER)
(801) 631-8210
Entity
Organization
Contact information
Practice address
1899 E SIESTA DR, COTTONWOOD HEIGHTS, UT 84093-6241
(850) 163-1821
Mailing address
PO BOX 307, BOUNTIFUL, UT 84011-0307
(801) 294-6907
(801) 294-6917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
184901-1205
UT
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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