Individual
DR. MARK EDMUND JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FRCSC
Contact information
Practice address
13330 N 74TH ST, OMAHA, NE 68122-1919
(402) 639-3250
(402) 387-7967
Mailing address
13330 N 74TH ST, OMAHA, NE 68122-1919
(026) 393-2504
(402) 397-7967
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20412
NE
207W00000X
Ophthalmology Physician
31743
IA
Other
Enumeration date
06/30/2005
Last updated
03/06/2023
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