Clark Woodrow Johnson in Salt Lake City - Psychiatry
Clark Woodrow Johnson - NPI 1487706099
Clark Woodrow Johnson is a Psychiatry in Salt Lake City, Utah. Clark Woodrow Johnson practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Clark Woodrow Johnson is 1487706099. The last update date is 2023-06-21.
Clark Woodrow Johnson's current location address is 1208 E 3300 S, Salt Lake City, Utah. You can contact this provider via phone number 8012905320 and fax number 8012905321. The mailing address for Clark Woodrow Johnson is 1208 E 3300 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark Woodrow Johnson |
|---|---|
| Address | 1208 E 3300 S, Salt Lake City, Utah |
| Phone Number | 8012905320 |
| Fax Number | 8012905321 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487706099 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2023-06-21 |
Provider Mailing Address Detail
| Address | 1208 E 3300 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841062522 |
| Phone Number | 8012905320 |
| Fax Number | 8012905321 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD 60082250 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identification code assigned to Clark Woodrow Johnson by the Centers for Medicare & Medicaid Services?
The Clark Woodrow Johnson has been issued the NPI (National Provider Identifier) 1487706099, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Clark Woodrow Johnson's physical address?
The Clark Woodrow Johnson is physically located at 1208 E 3300 S, in the city of Salt Lake City, UT, with the postal code 841062522.
What is the area of specialization for Clark Woodrow Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clark Woodrow Johnson is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
When did Clark Woodrow Johnson receive its 1487706099 assignment?
The Clark Woodrow Johnson was assigned its 1487706099 on 2007-01-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Clark Woodrow Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clark Woodrow Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-06-21.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC