Mark Johnson, MD

NPI 1831155365 · on the registry since 2006

Practice

Address: 3301 N Sawgrass Way
Boise, ID 83704
Phone: (208) 375-0862
Fax: (208) 375-2658
Organisation at this address: Mountain View Medical Center
St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho