Whalio Doctors

NPI 1760502991

Blake Wilson Johnson, DO

Practitioner Anesthesiology Physician West Jordan, UT

Practice location

Address
3580 W 9000 S, West Jordan, UT 84088-8812
Phone
(801) 561-8888
Fax
(480) 507-2971
Mailing address
PO Box 1847, Gilbert, AZ 85299-1847

Registered specialties (3)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 6919190-1240 (UT)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 012210 (AZ)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 94-06211 TEMPORARY (KS)

Registry record

NPI
1760502991
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Mar 2007
Record last updated
11 Jun 2026

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.