Individual
DR. DARLENE G. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9220 S PENNSYLVANIA AVE, SUITE B, OKLAHOMA CITY, OK 73159-6937
(405) 692-1331
(405) 692-0082
Mailing address
9220 S PENNSYLVANIA AVE, SUITE B, OKLAHOMA CITY, OK 73159-6937
(405) 692-1331
(405) 692-0082
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16599
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731382009
BCBS
OK
Enumeration date
07/11/2006
Last updated
01/14/2016
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