Individual
DR. SCOTT EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5848 S 300 E, MURRAY, UT 84107-6121
(801) 314-4900
Mailing address
5848 S 300 E, MURRAY, UT 84107-6121
(801) 314-4900
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3764581205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057005
—
UT
Enumeration date
06/12/2006
Last updated
09/02/2008
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