Individual
DR. MARK BRIAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13906 GOLD CIR, #101, OMAHA, NE 68144-2335
(402) 758-2910
(402) 758-2956
Mailing address
13906 GOLD CIR, #101, OMAHA, NE 68144-2335
(402) 758-2910
(402) 758-2956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24586
NE
Other
Enumeration date
06/26/2008
Last updated
08/09/2013
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