Individual
MARK F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14416 W MEEKER BLVD, BLDG C, SUN CITY WEST, AZ 85375-5284
(623) 583-5180
(523) 546-8458
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(523) 546-8458
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23674
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763559
—
AZ
Enumeration date
06/07/2006
Last updated
01/23/2008
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