person
Mark Daniel Johnson, PA-C
Surgical Physician Assistant in Oklahoma City, Oklahoma
NPI 1508855677

Mark Daniel Johnson is a Surgical Physician Assistant based in Norman, OK and is specialized in Surgical. Mark Daniel Johnson practices in Oklahoma City, OK and has the professional credentials of PA-C. The NPI Number for Mark Daniel Johnson is 1508855677 and holds a License No. 485 (Oklahoma).

The current practice location address for Mark Daniel Johnson is 13401 N Western Ave Ste 301, Oklahoma City, OK and can be reached out via phone at 405-360-6764 and via fax at 405-360-6769.

Location: 13401 N Western Ave Ste 301, Oklahoma City, OK, 73072-1810
person
Provider Profile Details
NPI Number
1508855677
Provider Name
Mark Daniel Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
13401 N Western Ave Ste 301, Oklahoma City, OK, 73072-1810
Phone Number
405-360-6764
Fax Number
405-360-6769
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13401 N Western Ave Ste 301
City
State
Zip
73114-1411
Phone Number
405-360-6764
Fax Number
405-360-6769
person
Provider Business Mailing Address Details
Address
13401 N Western Ave Ste 301
City
State
Zip
73114-1411
Phone Number
405-360-6764
Fax Number
405-360-6769
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
485 (Oklahoma)
Definition
Definition to come...
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