Blake Wilson Johnson, D.O.
NPI #1760502991 in West Jordan, Utah
Provider Information
- NPI Number
- 1760502991
- Entity Type
- Individual
- Name
- Blake Wilson Johnson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Anesthesiology
- Credential
- D.O.
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Jun 19, 2015
Practice Location
- Address
- 3580 W 9000 S
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-8812
- Phone
- (801) 561-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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