Sherman Bennion Johnson, MD | |
2520 W 4700 S, #5a, Taylorsville, UT 84129-1847 | |
(801) 964-2008 | |
(801) 964-2435 |
Full Name | Sherman Bennion Johnson |
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Gender | Male |
Speciality | Pediatrics |
Location | 2520 W 4700 S, Taylorsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376510800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1646671205 (Utah) | Primary |
Entity Name | Dudley Medical And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700125416 PECOS PAC ID: 3779720164 Enrollment ID: O20130501000613 |
Mailing Address | Practice Location Address |
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Sherman Bennion Johnson, MD 2520 W 4700 S, #5a, Taylorsville, UT 84129-1847 Ph: (801) 964-2008 | Sherman Bennion Johnson, MD 2520 W 4700 S, #5a, Taylorsville, UT 84129-1847 Ph: (801) 964-2008 |
Amber Sharp Heise, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4745 S 3200 W, Taylorsville, UT 84129 Phone: 801-964-6124 | |
Dr. Maggie S Hull, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4546 S 815 W, Suite #204, Taylorsville, UT 84123 Phone: 801-595-8844 Fax: 801-506-0188 | |
Dr. Matthew Ryan Meek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7940 | |
Sylvie M Backman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3845 W 4700 S, Taylorsville, UT 84118 Phone: 801-840-2101 | |
Michael C Flynn, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3730 W 4700 S, Taylorsville, UT 84129 Phone: 801-213-9200 | |
Dr. Tamara Stein Jensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3845 W 4700 S, Taylorsville, UT 84129 Phone: 801-840-2020 |