Mark R Johnson, M.D.
NPI #1205811775 in Springfield, Illinois
Provider Information
- NPI Number
- 1205811775
- Entity Type
- Individual
- Name
- Mark R Johnson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics - Pediatric Pulmonology
- Credential
- M.D.
- Enumeration Date
- Dec 7, 2005
- Last Updated
- Nov 17, 2020
Practice Location
- Address
- 301 N 8TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62701-1041
- Phone
- (217) 545-0702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Pulmonology — Pediatric Pulmonology |
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