# MARCUS A. JOHNSON MDPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205126018
- **Authorized official:** MARCUS A. JOHNSON M.D. (OWNER)
- **Authorized official phone:** (406) 452-9927

## Contact information

- **Practice address:** 2201 SUN RIVER RD, GREAT FALLS, MT 59404-5703
- **Practice address phone:** (406) 452-9927
- **Mailing address:** 2201 SUN RIVER RD, GREAT FALLS, MT 59404-5703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3401 | MT | — |
| 208D00000X | General Practice Physician | 3401 | MT | Yes |

## Other

- **Enumeration date:** 04/13/2011
- **Last updated:** 04/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000084258 | MEDICARE ID - TYPE UNSPECIFIED | MT |
| 05 | — | 0083164 | — | MT |