Individual
GLENNA WONG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5635 N MLK JR BLVD, TULSA, OK 74126-6409
(918) 398-9460
Mailing address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34716
OK
Other
Enumeration date
04/23/2019
Last updated
09/03/2025
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