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NPI Code Detail

MEDICARE: ANDREW DAVID JOHNSTON MD

MEDICARE: ANDREW DAVID JOHNSTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician14272883-1205UT
22085P0229XPediatric Radiology Physician14272883-1205UT

General Provider Information

NPI Number : 1427503697
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW DAVID JOHNSTON MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 240 E HURON ST
Second Line : SUITE 1-200
City : CHICAGO
State : IL
Zip : 60611-2909
Country : US
Telephone Number : 312-503-7975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2016
Last Update Date : 06/03/2026

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