Individual
DENISE WAYNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1701 SOUTH 4TH, CLINTON, OK 73601
(580) 331-2200
(580) 331-2239
Mailing address
1701 SOUTH 4TH, CLINTON, OK 73601
(580) 331-2296
(580) 331-2267
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1898
OK
Other
Enumeration date
06/30/2010
Last updated
02/28/2017
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