Mark Daniel Johnson, PA-C
NPI #1508855677 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1508855677
- Entity Type
- Individual
- Name
- Mark Daniel Johnson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Nov 26, 2018
Practice Location
- Address
- 13401 N WESTERN AVE STE 301
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73114-1411
- Phone
- (405) 360-6764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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