Individual
MR. ANTHONY EARL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 N GREENWOOD AVE, SUITE B, TULSA, OK 74120-1444
(918) 425-0221
(918) 425-0222
Mailing address
121 N GREENWOOD AVE, SUITE B, TULSA, OK 74120-1444
(918) 425-0221
(918) 425-0222
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R 0075294
OK
374U00000X
Home Health Aide
37V257521203
OK
Other
Enumeration date
11/05/2014
Last updated
11/09/2014
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