Individual
MADISON REIDE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
2017 W I 35 FRONTAGE RD STE 140, EDMOND, OK 73013-8555
(405) 757-3710
(405) 757-3711
Mailing address
2017 W I 35 FRONTAGE RD STE 140, EDMOND, OK 73013-8555
(405) 757-3710
(405) 757-3711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5590
OK
Other
Enumeration date
11/10/2021
Last updated
03/16/2022
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