Individual
DR. MICHAEL JAY JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 W IOWA AVE, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2310
Mailing address
2100 W IOWA AVE, CHICKASHA, OK 73018-2736
(405) 224-2100
(405) 779-2310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12935
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007060A
—
OK
Enumeration date
07/17/2006
Last updated
05/09/2018
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