Individual
DR. JERRY LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11914 N PENNSYLVANIA AVE STE B3, OKLAHOMA CITY, OK 73120-7831
(405) 752-8819
(405) 751-1238
Mailing address
11914 N PENNSYLVANIA AVE STE B6, OKLAHOMA CITY, OK 73120-7831
(405) 752-8819
(405) 751-1238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2626
OK
Other
Enumeration date
10/17/2006
Last updated
11/21/2019
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