Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED ALAN JOHNSTUN, M.D.
Active Sole ProprietorJARED ALAN JOHNSTUN, M.D. is a Critical Care Medicine healthcare provider located in MIDVALE, Utah. NPI 1487944096 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · MIDVALE, UT
Registration Details
- NPI Number
- 1487944096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2011 (15.355351293617 yrs)
- Last Updated
- Aug 22, 2024
- Licenses
-
8134352-1205 (UT)8134352-1205 (UT)036.160773 (IL)036.160773 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
623 E FORT UNION BLVD STE 105MIDVALE, UT, 840475529Browse UT providers · Browse ZIP 84047
- Phone
- 3854121660
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Critical Care Medicine
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.