MARK SAMUEL JOHNSON

SAINT CHARLES, MO
NPI1568453132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2010013488)
Enumeration Date2005-11-02
Last Update Date2020-03-13
Business Address
Mr. MARK SAMUEL JOHNSON PA-C MT ASCP
300 1ST CAPITOL DR
SAINT CHARLES, MO 63301-2844
Phone number: 636-947-5000
Mailing Address
Mr. MARK SAMUEL JOHNSON PA-C MT ASCP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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