Individual
RICHARD ERIC JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 W GORE BLVD, DEPARTMENT OF ANESTHESIOLOGY, LAWTON, OK 73502-0129
(580) 355-8620
(580) 536-2292
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 355-8620
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20908
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003940A
—
OK
Enumeration date
08/29/2005
Last updated
09/09/2008
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