Individual
ANDREA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 NE 10TH ST # L100, OKLAHOMA CITY, OK 73104-5418
(405) 271-3016
Mailing address
800 NE 10TH ST, OKLAHOMA CITY, OK 73104-5418
(405) 271-3035
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
32428
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2016
Last updated
06/02/2021
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