Individual
DR. GARY ERLE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
53468 MINERAL SPRINGS RD, HODGEN, OK 74939-3064
(918) 653-7831
Mailing address
1501 COTTONWOOD DR, POTEAU, OK 74953-2048
(918) 647-7171
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OK1230
OK
Other
Enumeration date
02/22/2007
Last updated
07/09/2007
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