person
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. You can also correspond with Gary Blake Johnson through the mailing address at 7181 S CAMPUS VIEW DR STE 200, WEST JORDAN, UT - 84084-4312 (mailing address contact number: 801-965-3505).

Location: 24 S 1100 E Ste 105, Salt Lake City, UT, 84084-4312
person
Provider Profile Details
NPI Number
1144223827
Provider Name
Gary Blake Johnson
Credential
MD
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
institution
Provider Business Practice Location Address Details
Address
24 S 1100 E Ste 105
City
State
Zip
84102-1593
Phone Number
801-965-3600
Fax Number
person
Provider Business Mailing Address Details
Address
24 S 1100 E Ste 105
City
State
Zip
84102-1593
Phone Number
801-965-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
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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