MARK C JOHNSON

BOISE, ID
NPI1831155365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M5266)
Enumeration Date2006-04-24
Last Update Date2014-01-23
Business Address
-- MARK C JOHNSON MD
3301 N SAWGRASS WAY
BOISE, ID 83704-4493
Phone number: 208-375-0862
Mailing Address
-- MARK C JOHNSON MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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