Gary Blake Johnson in Salt Lake City - Urology
Gary Blake Johnson - NPI 1144223827
Gary Blake Johnson is a Urology in Salt Lake City, Utah. Gary Blake Johnson practices all healthcare services and medical treatments related to Urology. The NPI Number for Gary Blake Johnson is 1144223827. The last update date is 2022-02-07.
Gary Blake Johnson's current location address is 24 S 1100 E Ste 105, Salt Lake City, Utah. You can contact this provider via phone number 8019653600. The mailing address for Gary Blake Johnson is 24 S 1100 E Ste 105, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Blake Johnson |
|---|---|
| Address | 24 S 1100 E Ste 105, Salt Lake City, Utah |
| Phone Number | 8019653600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1144223827 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2022-02-07 |
Provider Mailing Address Detail
| Address | 24 S 1100 E Ste 105 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 8410215930 |
| Phone Number | 8019653600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 5860718-1205 |
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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 acquir |
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What is the Gary Blake Johnson's 1144223827?
The Gary Blake Johnson's NPI (National Provider Identifier) Number is 1144223827. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gary Blake Johnson?
The Gary Blake Johnson is situated at 24 S 1100 E Ste 105, in the city of Salt Lake City, state of UT, with the zip code 8410215930.
What is Gary Blake Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Blake Johnson is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date did the Gary Blake Johnson receive the assignment of its 1144223827 from the Centers for Medicare & Medicaid Services?
The Gary Blake Johnson was issued its 1144223827 by the Centers for Medicare & Medicaid Services on 2005-05-24.
When was the information pertaining to Gary Blake Johnson most recently updated or revised?
The details related to Gary Blake Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-07.