NPI 1144223827

Gary Blake Johnson, MD

Practitioner Urology Physician Salt Lake City, UT

Practice location

Address: 24 S 1100 E STE 105, Salt Lake City, UT 84102-1593
Phone: (801) 965-3600
Mailing address: 2965 W 3500 S, West Valley City, UT 84119-3602

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5860718-1205 (UT)

Other Urology providers in Utah →

Specialist

Other Service Providers Taxonomy 174400000X Licence 5860718-1205 (UT)

Other Specialist providers in Utah →

Registry record

NPI: 1144223827
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2005
Record last updated: 4 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.