Gary Blake Johnson, MD - Salt Lake City, UT

Gary Blake Johnson, MD

Urology Physician in Salt Lake City, Utah

NPI 1144223827

Gary Blake Johnson is a Urology Physician based in West Jordan, UT. Gary Blake Johnson practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Gary Blake Johnson is 1144223827 and holds a License No. 5860718-1205 (Utah).

The current practice location address for Gary Blake Johnson is 24 S 1100 E Ste 105, Salt Lake City, UT and can be reached out via phone at 801-965-3600.

Location: 24 S 1100 E Ste 105, Salt Lake City, UT, 84084-4312

NPI Number

1144223827

Provider Name

Gary Blake Johnson

Credential

Provider Entity Type

Individual

Gender

Male

Address

24 S 1100 E Ste 105, Salt Lake City, UT, 84084-4312

Phone Number

801-965-3600

Fax Number

Provider Enumeration Date

05/24/2005

Last Update Date

03/08/2024

Address

24 S 1100 E Ste 105

City

Salt Lake City

State

Utah

Zip

84102-1593

Phone Number

801-965-3600

Fax Number

Address

24 S 1100 E Ste 105

City

Salt Lake City

State

Utah

Zip

84102-1593

Phone Number

801-965-3600

Fax Number

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

5860718-1205 (Utah)

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Type

Allopathic & Osteopathic Physicians

Classification

Urology

Speciality

Taxonomy

208800000X

License No.

5860718-1205 (Utah)

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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