Organization
JOHNSON FAMILY CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE JOHNSON DC (DOCTOR)
(405) 752-8819
Entity
Organization
Contact information
Practice address
11914 N PENNSYLVANIA AVE, SUITE B3, OKLAHOMA CITY, OK 73120-7831
(405) 752-8819
(405) 751-1238
Mailing address
11914 N PENNSYLVANIA AVE, SUITE B3, OKLAHOMA CITY, OK 73120-7831
(405) 752-8819
(405) 751-1238
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2626
OK
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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