GLEN ERIC JOHNSON

WEST VALLEY CITY, UT
NPI1326157298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  1547641205)
Enumeration Date2006-08-30
Last Update Date2011-01-05
Business Address
Mr. GLEN ERIC JOHNSON MD
3940 WEST 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-966-3700
Mailing Address
Mr. GLEN ERIC JOHNSON MD
555 E 4500 S C-150
SALT LAKE CITY, UT 84107-4533
Phone number: 801-288-0747