Individual
MARK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 W 26TH ST, ERIE, PA 16506
(814) 449-8708
Mailing address
3303 W 26TH ST, ERIE, PA 16506-2401
(814) 449-8708
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
FO3744
PA
Other
Enumeration date
06/15/2017
Last updated
09/15/2018
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