Individual
ADAM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 SL YOUNG BLVD, WP 1290, OKLAHOMA CITY, OK 73104-5033
(405) 271-5504
Mailing address
920 SL YOUNG BLVD, WP 1290, OKLAHOMA CITY, OK 73104-5033
(405) 271-5504
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27850
OK
Other
Enumeration date
06/11/2010
Last updated
06/14/2010
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