Spencer D Johnson Od PC

NPI #1336315613 in Draper, Utah

Provider Information

NPI Number: 1336315613
Entity Type: Organization
Organization Name: Spencer D Johnson Od PC
Primary Specialty: Optometrist
Enumeration Date: May 6, 2008
Last Updated: May 6, 2008

Practice Location

Address: 12357 S 450 E
Address 2: STE 2
City: Draper
State: Utah
ZIP Code: 84020-8127
Phone: (801) 572-9804

Authorized Official

Name: DR. SPENCER D JOHNSON, O.D.
Title: OWNER/OPTOMETRIST
Phone: (801) 572-9804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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