Organization
JAY C. JOHNSTON, M. D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT WHITENER (INSURANCE)
(405) 749-4280
Entity
Organization
Contact information
Practice address
4200 W MEMORIAL RD, SUITE 101, OKLAHOMA CITY, OK 73120-9350
(405) 749-4280
(405) 749-4281
Mailing address
4200 W MEMORIAL RD, SUITE 101, OKLAHOMA CITY, OK 73120-9350
(405) 749-4280
(405) 749-4281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8645
OK
Other
Enumeration date
05/07/2007
Last updated
06/11/2009
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