Organization
MARCUS A. JOHNSON MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS A. JOHNSON M.D. (OWNER)
(406) 452-9927
Entity
Organization
Contact information
Practice address
2201 SUN RIVER RD, GREAT FALLS, MT 59404-5703
(406) 452-9927
Mailing address
2201 SUN RIVER RD, GREAT FALLS, MT 59404-5703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3401
MT
208D00000X
General Practice Physician
Primary
3401
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084258
MEDICARE ID - TYPE UNSPECIFIED
MT
05
—
0083164
—
MT
Enumeration date
04/13/2011
Last updated
04/28/2011
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