Individual
BYRON LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
3115 ARLINGTON ST, ADA, OK 74820-3085
(580) 332-6345
(580) 421-7724
Mailing address
3115 ARLINGTON ST, ADA, OK 74820-3085
(580) 332-6345
(580) 421-7724
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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