Individual
HUNTER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
930 W MAIN ST, JENKS, OK 74037-3523
(918) 324-2535
Mailing address
3911 E 104TH ST, TULSA, OK 74137-5842
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4448
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4448
—
OK
Enumeration date
10/16/2021
Last updated
01/20/2022
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