IndividualActive
John Bohnsack
NPI 1609955277 · Pediatric Rheumatology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1609955277
- Entity type
- Individual
- Primary specialty
- Pediatric Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 177835-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Phone: (801) 581-2121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 581100
Salt Lake City, UT 84158-1100
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.