| NPI | 1376581793 |
|---|---|
| Other Name | MARC A JOHNSON PAC |
| Entity Type | Organization |
| Authorized Contact | MARC ANTONIO JOHNSON President 719-650-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA1915) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-03 |