Mark D Johnson
Reproductive Endocrinologist
1701 E Thomas Rd Building 1 Suite 101
Phoenix
, Arizona 85016-7646
Mark D Johnson
Reproductive Endocrinologist
1701 E Thomas Rd Building 1 Suite 101
Phoenix
, Arizona 85016-7646
(602) 343-2766
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Mark D Johnson
- 1701 E Thomas Rd Building 1 Suite 101
- Phoenix, AZ
- Zip : 85016-7646
- Fax : (602) 343-2766
- Phone : (602) 343-2767
Second Address
- Mark D Johnson
- 1701 E Thomas Rd Building 1 Suite 101
- Phoenix, AZ
- Zip : 85016-7646
- Fax : (602) 343-2766
- Phone : (602) 343-2767
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In what state does Mark D Johnson practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 28172 | AZ |
National Provider Identifier
| NPI | 1033198155 |
|---|---|
| Provider Name | Mark D Johnson |
| First Address | Phoenix, AZ 85016-7646 |
| Second Address | Phoenix, AZ 85016-7646 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AZ0738100 | BCBS (01) | AZ |
| B45768 | (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.