MARK L JOHNSON

INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC.

Dr MARK L JOHNSON is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2011.

Contact

INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC.

450 N WIGET LN
WALNUT CREEK
CA
945982408

Tel: 9254828151

MARK L JOHNSON Information

Npi 1386904688
Pac Id 3072754647
Professional Enrollment Id I20160927000530
Last Name JOHNSON
First Name MARK
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC.
Group Practice Pac Id 0547252918
Number Of Group Practice Members 39
Line 1 Street Address 450 N WIGET LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City WALNUT CREEK
State CA
Zip Code 945982408
Phone Number 9254828151
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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