Johnson, Mark D

Johnson, Mark D is an individual health care provider with primary practice located at 1701 E Thomas Rd Building 1 Suite 101, Phoenix AZ 85016-7646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Johnson, Mark D can be contacted via phone (602) 343-2767.

Contact Information

Primary practice address
1701 E Thomas Rd Building 1 Suite 101 Phoenix AZ 85016-7646
Phone: (602) 343-2767
Fax: (602) 343-2766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 28172 Arizona

Profile Details

NPI number 1033198155
LBN Legal business name Johnson, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033198155 NPPES
Arizona Other AZ0738100 BCBS

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