MR. Mark Haley Johnson, IDC
NPI #1710199666 in Groton, Connecticut
Provider Information
- NPI Number
- 1710199666
- Entity Type
- Individual
- Name
- MR. Mark Haley Johnson, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 4, 2007
- Last Updated
- May 6, 2011
Practice Location
- Address
- NLON MEDICAL DEPARTMENT BLDG 76
- Address 2
- NAVAL SUBMARINE BASE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (860) 694-2795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
Similar Providers
| Provider Name | |
|---|---|
| Joshua O Balter, NAVY IDC |  AI Deep Dive |
| Dennis Buenaventura Custodio, INDEPENDENT DUTY HM | AI Deep Dive |
| Ivan Leavitt Brown | AI Deep Dive |
| David Weldon Himes, HM1 | AI Deep Dive |
| Jared E. Akers, IDC | AI Deep Dive |
Want to research this healthcare provider further?