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Organization

WAYNE A JOHNSON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE ANTHONY JOHNSON M.D. (PRESIDENT)
(580) 353-8600
Entity
Organization

Contact information

Practice address
904 SW 38TH ST, LAWTON, OK 73505-7021
(580) 353-8600
Mailing address
904 SW 38TH ST, LAWTON, OK 73505-7021
(580) 353-8600

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19138
OK

Other

Enumeration date
02/16/2007
Last updated
09/26/2008
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