MD Center for Facial Rejuvenation

NPI #1467520437 in Salt Lake City, Utah

Provider Information

NPI Number
1467520437
Entity Type
Organization
Organization Name
MD Center for Facial Rejuvenation
Primary Specialty
Clinic/Center - Ophthalmologic Surgery
Enumeration Date
Nov 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
6440 WASATCH BLVD
Address 2
SUITE 390
State
Utah
ZIP Code
84121-3511
Phone
(801) 424-3223

Authorized Official

Name
DR. JUSTIN RODNEY JOHNSEN, M.D.
Title
OWNER
Phone
(801) 424-3223

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ophthalmologic SurgeryOphthalmologic Surgery

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