JOHNSON, MARK DANIEL - Licensee Information

Search Results

Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Tuesday, November 5, 2024 4:30 PM CST

JOHNSON, MARK DANIEL

Practice Address:	OKLAHOMA SPORTS & ORTHOPEDIC INSTITUTE 13401 N. WESTERN AVE. SUITE 101 OKLAHOMA CITY OK 73134 Address last updated on 3/12/2024
Phone #:	(405) 478-7111
Fax #:	(405) 478-7112
County:	OKLAHOMA
License:	485
Dated:	9/6/1986
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
OKLAHOMA SPORTS & ORTHOPEDIC INSTITUTE 13401 N. WESTERN AVE. SUITE 101 OKLAHOMA CITY OK 73134 Phone #: (405) 478-7111 Fax #: (405) 478-7112

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK
SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JAMES LEE BOND	MD	21989
SCOTT MARTIN DE LA GARZA	MD	21981
TIMOTHY MICHAEL GEIB	MD	22888
RICHARD ALAN KIRKPATRICK	MD	22376
COREY EUGENE PONDER	MD	22884

Return to Search Licensees page