Individual
MR. BENEDICT JOHNSON MIDDLETON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1130 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 258-9111
Mailing address
3576 S WINSTON AVE, TULSA, OK 74135-2045
(918) 406-6829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222426
OK
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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