Individual
FERRELL JOHNS JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 NE 81ST ST, OKLAHOMA CITY, OK 73114-4003
(405) 436-2772
Mailing address
801 NE 81ST ST, OKLAHOMA CITY, OK 73114-4003
(405) 436-2772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
03/21/2017
Last updated
03/21/2017
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