Individual
ANTHONY EUGENE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
905 SW 38TH ST, MOORE, OK 73160-9409
(405) 650-7824
Mailing address
905 SW 38TH ST, MOORE, OK 73160-9409
(405) 650-7824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95365
OK
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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