Individual provider · Type 1 NPI
Wendell C. Johnson, MD
Body Imaging Physician · Murray, UT
NPI number
1083654065
Active
Practice location
5444 S. Green St.
Murray, UT 84123-5632
Fax (801) 262-3897
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | M-10293 (ID) |
| Body Imaging Physician Primary | 2085B0100X | 276179-1205 (UT) |
| Diagnostic Radiology Physician | 2085R0202X | 276179-1205 (UT) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1083654065
Wendell C. Johnson, MD's National Provider Identifier is 1083654065, issued on Jun 7, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Murray, UT. The record was last updated on Nov 13, 2012.