Mark R Johnson MD PC

NPI #1740661792 in Cottonwood Heights, Utah

Provider Information

NPI Number: 1740661792
Entity Type: Organization
Organization Name: Mark R Johnson MD PC
Subpart: Yes (part of a larger organization)
Parent Organization: KADENCE TECHNOLOGY, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 1899 E SIESTA DR
City: Cottonwood Heights
State: Utah
ZIP Code: 84093-6241
Phone: (850) 163-1821

Authorized Official

Name: MARK R JOHNSON, MD
Title: SOLE MEMBER
Phone: (801) 631-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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