Individual
DR. JON MARK JOHNSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
608 S HESTER ST, STILLWATER, OK 74074-4516
(405) 377-8000
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 377-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29234
OK
Other
Enumeration date
04/28/2012
Last updated
07/27/2016
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