Individual
JOSHUA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 SHARP ST, PERKINS, OK 74059-4160
(607) 483-0219
Mailing address
101 SHARP ST, PERKINS, OK 74059-4160
(607) 483-0219
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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