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Organization

TULSA NEUROLOGY CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY K JOHNSON DO (OWNER)
(918) 743-2882
Entity
Organization

Contact information

Practice address
7134 S YALE AVE, SUITE 450, TULSA, OK 74136-6372
(918) 743-2882
(918) 745-0323
Mailing address
7134 S YALE AVE, SUITE 450, TULSA, OK 74136-6372
(918) 743-2882
(918) 745-0323

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100137280A
OK
01
1851318497
NPI
OK
01
448664025001
BCBS
01
DP2445
RAILROAD MEDICARE
OK
Enumeration date
07/17/2006
Last updated
09/28/2009
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