Individual
JOHNNY T NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1317 SE 44TH ST, OKLAHOMA CITY, OK 73129-6906
(405) 615-3801
Mailing address
1317 SE 44TH ST, OKLAHOMA CITY, OK 73129-6906
(405) 615-3801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0060453
OK
Other
Enumeration date
01/12/2013
Last updated
09/03/2013
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