Gary Blake Johnson, MD

NPI #1144223827 in Salt Lake City, Utah

Provider Information

NPI Number: 1144223827
Entity Type: Individual
Name: Gary Blake Johnson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: MD
Enumeration Date: May 24, 2005
Last Updated: Feb 4, 2025

Practice Location

Address: 24 S 1100 E STE 105
City: Salt Lake City
State: Utah
ZIP Code: 84102-1593
Phone: (801) 965-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Urology	208800000X	Primary

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