Mr. Mark Haley Johnson, IDC
Mr. Mark Haley Johnson, IDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
Nlon Medical Dept Bldg 76 Naval Submarine BaseGroton, CT 06340
Phone: (860) 694-2795
Fax: (860) 694-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1710199666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | May 6, 2011 |
| Mailing address | 197 Charter Oak Dr, Groton, CT 06340 |
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