Wendell C Johnson M.D.

NPI 1083654065 - Radiology - 2085R0202X

NPI Details
NPI 1083654065
Gender Male
Enumeration Date 06/07/2006
Last Updated 11/13/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
5444 S. GREEN ST.
MURRAY UT, 84123-5632, US
Phone (801) 262-2647
Fax (801) 262-3897
Business Location
5444 S. GREEN ST.
MURRAY UT, 84123-5632, US
Phone (801) 262-8120
Fax (801) 262-5721
Toxanomy
Taxonomy Code 2085R0202X
License State Idaho
License Number M-10293
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According to our database, Dr. Wendell C Johnson M.D. NPI is 1083654065, taxonomy code is 2085R0202X and license number is M-10293, license state is located at Idaho. Wendell C Johnson M.D. physically located at 5444 S. Green St., Murray UT, 84123-5632. NPI Number Wendell C Johnson M.D. has the Individual type.

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1083654065 NPI number is provided on an as is basis without warranty of any kind. 1083654065 is maintained by the National Plan & Provider Enumeration System. The contents of Wendell C Johnson M.D. are for informational purposes only.