Mark Dale Johnson in Las Vegas - Family Medicine
Mark Dale Johnson - NPI 1184668659
Mark Dale Johnson is a Family Medicine in Las Vegas, Nevada. Mark Dale Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Dale Johnson is 1184668659. The last update date is 2021-06-21.
Mark Dale Johnson's current location address is Po Box 35380, Las Vegas, Nevada. You can contact this provider via phone number 8012652212 and fax number 8012650103. The mailing address for Mark Dale Johnson is Po Box 35380, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Dale Johnson |
|---|---|
| Address | Po Box 35380, Las Vegas, Nevada |
| Phone Number | 8012652212 |
| Fax Number | 8012650103 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184668659 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2021-06-21 |
Provider Mailing Address Detail
| Address | Po Box 35380 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891335380 |
| Phone Number | 8012652212 |
| Fax Number | 8012650103 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 182573-1205 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529190498001 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Dale Johnson by the Centers for Medicare & Medicaid Services?
The Mark Dale Johnson has been assigned the NPI (National Provider Identifier) 1184668659. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Dale Johnson's facilities are situated?
The facilities of Mark Dale Johnson are physically located at the following address: Po Box 35380, Las Vegas, NV, 891335380.
What is the Mark Dale Johnson's specialty and taxonomy code?
The Mark Dale Johnson's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Mark Dale Johnson receive its 1184668659 assignment?
The Mark Dale Johnson was assigned its 1184668659 on 2006-06-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Mark Dale Johnson last refreshed?
The information related to the Mark Dale Johnson, including its address, specialty, and other relevant details, was last updated on 2021-06-21.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA