Individual
JOHNNY FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339-1110
(405) 679-7144
(918) 675-4615
Mailing address
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339-1110
(405) 679-7144
(918) 675-4615
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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