Dale Gedge Johnson in Salt Lake City - Pediatric Surgery
Dale Gedge Johnson - NPI 1275790776
Dale Gedge Johnson is a Pediatric Surgery in Salt Lake City, Utah. Dale Gedge Johnson practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Dale Gedge Johnson is 1275790776. The last update date is 2008-05-21.
Dale Gedge Johnson's current location address is 100 N Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016622950 and fax number 8016622980. The mailing address for Dale Gedge Johnson is 100 N Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Gedge Johnson |
|---|---|
| Address | 100 N Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8016622950 |
| Fax Number | 8016622980 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275790776 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 100 N Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131100 |
| Phone Number | 8016622950 |
| Fax Number | 8016622980 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 1473781205 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3594 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dale Gedge Johnson by the Centers for Medicare & Medicaid Services?
The Dale Gedge Johnson has been assigned the NPI (National Provider Identifier) 1275790776. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dale Gedge Johnson is geographically located?
The Dale Gedge Johnson is physically situated at the following location: 100 N Mario Capecchi Dr, Salt Lake City, UT, 841131100.
What is the area of specialization for Dale Gedge Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dale Gedge Johnson is Pediatric Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0120X.
When did the Dale Gedge Johnson receive its 1275790776?
The Dale Gedge Johnson was issued its 1275790776 on 2008-05-21, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Dale Gedge Johnson most recently updated or revised?
The information pertaining to Dale Gedge Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-21.