person
Eric Johnson, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1649665399

Eric Johnson is a Student in an Organized Health Care Education/Training Program based in Ogden, UT. Eric Johnson practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Eric Johnson is 1649665399 and holds a License No. 1649665399 (Utah).

The current practice location address for Eric Johnson is 4401 Harrison Blvd, Salt Lake City, UT and can be reached out via phone at 702-370-9273.

Location: 4401 Harrison Blvd, Salt Lake City, UT, 84403-3195
person
Provider Profile Details
NPI Number
1649665399
Provider Name
Eric Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4401 Harrison Blvd, Salt Lake City, UT, 84403-3195
Phone Number
702-370-9273
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649665399 05 UT
institution
Provider Business Practice Location Address Details
Address
4401 Harrison Blvd
City
State
Zip
84132-0001
Phone Number
702-370-9273
Fax Number
person
Provider Business Mailing Address Details
Address
4401 Harrison Blvd
City
State
Zip
84132-0001
Phone Number
702-370-9273
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
()
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
1649665399 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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