Individual
DALTON JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(844) 458-2100
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0123089
OK
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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