Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY BLAKE JOHNSON, MD
ActiveUrology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1144223827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (20.944690084316 yrs)
- Last Updated
- Feb 4, 2025
- Licenses
-
5860718-1205 (UT)5860718-1205 (UT)
Practice Information
- Address
-
24 S 1100 E STE 105SALT LAKE CITY, UT, 841021593Browse UT providers · Browse ZIP 84102
- Phone
- 8019653600
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| LISA STOUT | M.D. | 1548263213 |
| BRADLEY J. WATERMAN | MD | 1699718809 |
| DR. WILLIAM O. BRANT | M.D. | 1467478339 |
| MICHAEL W. MANGELSON | M.D. | 1114944790 |
| DR. MICHAEL C. WALLIS | M.D. | 1558384388 |
| STEVEN C LYNCH | MD | 1578677803 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.