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Individual

DR. DAVID A JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1025 W. I-35 FROTAGE RAOD, EDMOND, OK 73044
(405) 509-2800
(405) 509-2885
Mailing address
2017 W I 35 FRONTAGE RD, SUITE 190, EDMOND, OK 73013-8504
(405) 757-3365
(405) 757-3366

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25069
OK

Other

Enumeration date
08/20/2007
Last updated
09/01/2015
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