Individual
DR. MARK CHRISTOPHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2667
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39397
IA
Other
Enumeration date
03/27/2007
Last updated
07/21/2011
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