Individual
JONATHON RYAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 358-6064
(918) 403-0383
Mailing address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 358-6064
(918) 403-0383
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7587
OK
Other
Enumeration date
05/21/2018
Last updated
07/20/2022
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