Organization
SKIATOOK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE JOHNSON DC (MANAGER)
(918) 396-9000
Entity
Organization
Contact information
Practice address
203 S HOMINY AVE, SKIATOOK, OK 74070-3975
(918) 396-9000
(918) 396-0119
Mailing address
203 S HOMINY AVE, SKIATOOK, OK 74070-3975
(918) 396-9000
(918) 396-0119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3150
OK
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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