Ruth Johnson PA

NPI 1699865162 - Physician Assistant - 363AM0700X

NPI Details
NPI 1699865162
Gender Female
Enumeration Date 10/13/2006
Last Updated 03/05/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
500 CIMARRON DR
BOX 323
MANNFORD OK, 74044-9504, US
Phone (918) 865-5000
Fax (918) 865-5050
Business Location
500 CIMARRON DR
BOX 323
MANNFORD OK, 74044-9504, US
Phone (918) 865-5000
Fax (918) 865-5050
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number PA-1777
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According to our database, Ruth Johnson PA NPI is 1699865162, taxonomy code is 363AM0700X and license number is PA-1777, license state is located at Oklahoma. Ruth Johnson PA physically located at 500 Cimarron Dr, Mannford OK, 74044-9504. NPI Number Ruth Johnson PA has the Individual type.

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1699865162 NPI number is provided on an as is basis without warranty of any kind. 1699865162 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth Johnson PA are for informational purposes only.