Individual
DR. JOHNNY H JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115
Mailing address
5600 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2023
(405) 943-4413
(405) 942-0115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OK8885
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122080A
—
OK
01
—
730784364
TAX ID
OK
Enumeration date
10/10/2006
Last updated
08/05/2010
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