Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mark Johnson

Individual provider Other Technician · NPI 1669380572

Mark Johnson is an Other Technician in Pocatello, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

151 N 3rd Ave Ste 330
Pocatello, ID 83201-6369
Phone: (208) 242-3771
Fax: (208) 242-3772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1669380572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

Other providers in Pocatello