IndividualActive
Mark Johnson, MD
NPI 1497796957 · Pediatric Cardiology Physician · Saint Louis, MO
Provider details
- NPI number
- 1497796957
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 102902 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 Childrens Pl
Div Ped Cardiology
Saint Louis, MO 63110-1002
Phone: (314) 454-6095
Fax: (314) 454-2561
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60352
Saint Louis, MO 63160-0352
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.