Individual
MR. MARK PATRICK ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7740 MEIGS RD, BALDWINSVILLE, NY 13027-9757
(315) 638-2521
(315) 638-2552
Mailing address
7740 MEIGS RD, BALDWINSVILLE, NY 13027-9757
(315) 638-2521
(315) 638-2552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F335622
NY
363LF0000X
Family Nurse Practitioner
F335622
NY
Other
Enumeration date
07/17/2008
Last updated
09/04/2020
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