Johnson, Mark Everett Bradford

Johnson, Mark Everett Bradford is an individual health care provider with primary practice located at 16620 N 40Th St Ste I-5, Phoenix AZ 85032-3348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Johnson, Mark Everett Bradford can be contacted via phone (602) 482-1300.

Contact Information

Primary practice address
16620 N 40Th St Ste I-5 Phoenix AZ 85032-3348
Phone: (602) 482-1300
Fax: (480) 718-7342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24917 Arizona

Profile Details

NPI number 1134188956
LBN Legal business name Johnson, Mark Everett Bradford
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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