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Contact Information

MARK B JOHNSON, MD
2020 PALOMINO LN STE 100
LAS VEGAS, NV89106-4894
 Phone: 702-759-8600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for MARK B JOHNSON · (Male)

NPI # 1740623818
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2013
Last updated 09/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 18967
Hospital affiliation(s)
  • KALISPELL REGIONAL MEDICAL CENTER - (Acute Care)
    310 SUNNYVIEW LANE
    KALISPELL, MT 59901
  • NORTH VALLEY HOSPITAL - (Critical Access)
    1600 HOSPITAL WAY
    WHITEFISH, MT 59937
  • ST JOHN'S LUTHERAN HOSPITAL - (Critical Access)
    209 HEALTH PARK DR
    LIBBY, MT 59923
  • ST LUKE COMMUNITY HOSPITAL - (Critical Access)
    107 6TH AVE SW
    RONAN, MT 59864
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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