Individual
KARINA MARIA JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1430 TERRACE DR, TULSA, OK 74104
(918) 748-8024
(918) 748-8249
Mailing address
1430 TERRACE DR, TULSA, OK 74104-4626
(918) 748-8024
(918) 748-8249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2783
OK
Other
Enumeration date
05/03/2017
Last updated
07/20/2018
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