Individual
DR. JAMES CALVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W WILSHIRE BLVD STE 203, NICHOLS HILLS, OK 73116-7036
(405) 543-9593
Mailing address
9800 BROADWAY EXTENSION, SUITE 203, OKLAHOMA CITY, OK 73114
(405) 419-5412
(405) 419-5468
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117800A
—
OK
01
—
200023390
RAILROAD MEDICARE
OK
Enumeration date
02/02/2006
Last updated
10/17/2023
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