Individual
BRIAN DOUGLAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6700 S MACARTHUR BLVD, CAMI/ AAM-320/ RM 203G, OKLAHOMA CITY, OK 73169-6907
(405) 954-7652
(405) 954-3345
Mailing address
6700 S MACARTHUR BLVD, CAMI/ AAM-320/ RM 203G, OKLAHOMA CITY, OK 73169-6907
(405) 954-7652
(405) 954-3345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17131
OK
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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