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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLAKE WILSON JOHNSON, D.O.

Active Sole Proprietor

BLAKE WILSON JOHNSON, D.O. is a Anesthesiology healthcare provider located in WEST JORDAN, Utah. NPI 1760502991 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · WEST JORDAN, UT

Registration Details

NPI Number
1760502991
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2007 (19.378590072372 yrs)
Last Updated
Jun 19, 2015
Licenses
94-06211 TEMPORARY (KS)
6919190-1240 (UT)
Sole Proprietor
Yes

Practice Information

Address
3580 W 9000 S
WEST JORDAN, UT, 840888812
Browse UT providers · Browse ZIP 84088
Phone
8015618888
Fax
4805072971
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in WEST JORDAN, UT

Name Credential NPI
SCOTT K CHRISTENSEN M.D. 1770512238
WADE T SMITH DO 1255363164
JOSEPH E MORGAN MD 1023121464
DR. CARDIN HARRIS BELL M.D. 1013061480
THOMAS S CANNON M.D. 1750598520
DR. JEFFREY WRIGHT M.D. 1225231749
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.