Individual
JAY C. JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 W MEMORIAL RD, STE 101, OKLAHOMA CITY, OK 73120-9350
(405) 749-4280
(405) 749-4281
Mailing address
4200 W MEMORIAL RD, STE 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
06/26/2006
Last updated
02/26/2016
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