MARK BROCKBANK JOHNSON

TULSA, OK
NPI1861681389
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  90512)
Enumeration Date2007-10-22
Last Update Date2007-10-22
Business Address
-- MARK BROCKBANK JOHNSON CRNA
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 918-579-1000
Mailing Address
-- MARK BROCKBANK JOHNSON CRNA
PO BOX 9188
LONGVIEW, TX 75608-9188
Phone number: 903-663-3600
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