Individual
HEATHER SPENCER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S ARAPEEN DR STE 100, SALT LAKE CITY, UT 84108-1239
(801) 581-7761
Mailing address
417 E PIONEER AVE, SANDY, UT 84070-1174
(801) 918-5480
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
7294637-4405
UT
363L00000X
Nurse Practitioner
Primary
7294637-4405
UT
Other
Enumeration date
07/31/2013
Last updated
10/21/2021
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