DR. Jon Mark Johnson SR., M.D.

NPI #1598765497 in Stillwater, Oklahoma

Provider Information

NPI Number: 1598765497
Entity Type: Individual
Name: DR. Jon Mark Johnson SR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 608 S HESTER ST
City: Stillwater
State: Oklahoma
ZIP Code: 74074-4516
Phone: (405) 377-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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