Individual
DR. MARK BERNARR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 19TH ST, GOLDEN, CO 80401-1709
(303) 271-5701
(303) 271-5702
Mailing address
1801 19TH ST, GOLDEN, CO 80401-1709
(303) 271-5701
(303) 271-5702
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
23982
CO
2083P0901X
Public Health & General Preventive Medicine Physician
G57609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239821
—
CO
Enumeration date
07/31/2006
Last updated
07/08/2007
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