Individual
LINDA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 224-8111
(405) 222-9587
Mailing address
1370 N INTERSTATE DR, SUITE 154, NORMAN, OK 73072-3376
(405) 224-8111
(405) 222-9587
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9060
OK
2086S0129X
Vascular Surgery Physician
9060
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100134230A
—
OK
Enumeration date
11/17/2005
Last updated
06/29/2016
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