Individual
DR. CONNER EUGENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1450 S EASTERN AVE BLDG A, OKLAHOMA CITY, OK 73129-6035
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6678
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
06/19/2018
Last updated
10/03/2024
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