Mark Johnson, MD

NPI 1184668659 · on the registry since 2006

Practice

Address: 6321 S Redwood Rd
Suite 201
Salt Lake City, UT 84123
Phone: (801) 265-2212
Fax: (801) 265-0103
Organisation at this address: Genesis Vascular Of Salt Lake
Jordan Ridge Family Medicine Llc
Advanced Vein And Vascular Of Salt Lake City Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah