Individual
JOHNNY ANDREW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 226-1252
Mailing address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 226-1252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24438
OK
Other
Enumeration date
02/05/2007
Last updated
04/02/2013
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