Individual
STEPHEN VAUGHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5910 NW 58TH STEET, OKLAHOMA CITY, OK 73122
(405) 229-4847
Mailing address
5910 NW 58TH ST, OKLAHOMA CITY, OK 73122-6108
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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