MARK PHILLIP JOHNSTON

ALBUQUERQUE, NM
NPI1063894939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-02691)
Enumeration Date2015-06-26
Last Update Date2015-06-26
Business Address
-- MARK PHILLIP JOHNSTON NP
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1234
Mailing Address
-- MARK PHILLIP JOHNSTON NP
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-823-8528
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