Individual
JOHNSON W SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N MARTIN LUTHER KING, LANGSTON, OK 73050
(405) 466-3335
Mailing address
PO BOX 1500, LANGSTON, OK 73050-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7697
OK
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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