Derek Brent Johnson, D.O.

NPI #1962605857 in Murray, Utah

Provider Information

NPI Number: 1962605857
Entity Type: Individual
Name: Derek Brent Johnson, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Jun 7, 2007
Last Updated: Jan 9, 2012

Practice Location

Address: 5121 S COTTONWOOD STREET
Address 2: INTERMOUNTAIN MEDICAL CENTER
City: Murray
State: Utah
ZIP Code: 84157-2520
Phone: (801) 507-5248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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