Organization
JOHNSON CHIROPRACTIC HEALTH AND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD D JOHNSON D.C. FASA (OWNER/PRESIDENT)
(580) 338-2070
Entity
Organization
Contact information
Practice address
517 NE 12TH ST, GUYMON, OK 73942-4433
(580) 338-2070
Mailing address
PO BOX 161, GUYMON, OK 73942-0161
(580) 338-2070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
302R00000X
Health Maintenance Organization
Primary
3456
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327625945001
BCBS
OK
Enumeration date
07/12/2007
Last updated
08/27/2020
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