Individual
TORY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5546
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5546
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33741
OK
390200000X
Student in an Organized Health Care Education/Training Program
33741
OK
Other
Enumeration date
06/25/2018
Last updated
02/14/2025
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