Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DANIEL JOHNSON, PA-C
ActiveSurgical Physician Assistant · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1508855677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2005 (20.5027462287 yrs)
- Last Updated
- Nov 26, 2018
- License
-
485 (OK)
Practice Information
- Address
-
13401 N WESTERN AVE STE 301OKLAHOMA CITY, OK, 731141411Browse OK providers · Browse ZIP 73114
- Phone
- 4053606764
- Fax
- 4053606769
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DEMETRIOUS FARROW | PA-C | 1598754608 |
| MS. AMY B RISLEY | PA | 1487626826 |
| MR. GRANT D ROBERTS | PA | 1336111483 |
| MR. RANDALL ASHLEY PAPE | PA-C | 1891761136 |
| STEPHANIE R. GARRISON | P.A. | 1124094446 |
| MRS. AMANDA LYNN KNOWLES | PA-C | 1033179106 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.