Dr. Mark Douglas Johnson
Infectious Disease
933 Red Apple Rd
Wenatchee
, Washington 98801-3370
Dr. Mark Douglas Johnson
Infectious Disease
933 Red Apple Rd
Wenatchee
, Washington 98801-3370
(509) 662-1511
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Mark Douglas Johnson
- 820 N Chelan Ave
- Wenatchee, WA
- Zip : 98801-2028
- Phone : (509) 662-1511
Second Address
- Dr. Mark Douglas Johnson
- 933 Red Apple Rd
- Wenatchee, WA
- Zip : 98801-3370
- Fax : (509) 667-3310
- Phone : (509) 665-6210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | MD60755882 | WA |
National Provider Identifier
| NPI | 1033105788 |
|---|---|
| Provider Name | Dr. Mark Douglas Johnson |
| First Address | Wenatchee, WA 98801-2028 |
| Second Address | Wenatchee, WA 98801-3370 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 12/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033105788 | (05) | WA |
| 381440 | LNI (01) | WA |
| VAD0000 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.