Individual
DR. MARK EVERETT BRADFORD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
16620 N 40TH ST, STE I-5, PHOENIX, AZ 85032-3348
(602) 482-1300
(480) 718-7342
Mailing address
16620 N 40TH ST, STE I-5, PHOENIX, AZ 85032-3348
(602) 482-1300
(480) 718-7342
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24917
AZ
Other
Enumeration date
03/21/2006
Last updated
04/26/2011
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